A mildly elevated INR is not predictive of an increased risk of bleeding. Furthermore, transfusion of plasma has not been demonstrated to significantly change the INR value when the INR was only minimally elevated (<1.8).
Blood products can cause serious harm to patients, are costly a nd are rarely indicated in the reversal of vitamin K antagonist s. In non-emergent situations, elevations in the international normalized ratio are best addressed by holding the vitamin K antagonist and/or by administering vitamin K.
Patients requiring reversal of warfarin can often be reversed with vitamin K alone. Prothromobin complex concentrates or plasma should only be used for patients with serious bleeding or requiring emergency surgery.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Radiòlegs de Catalunya-Societat Catalano-Balerar d'Oncologia
Colorectal cancer is the second cause of incidence and mortality for cancer, both in men and women, in the majority of developed countries.
The use of barium enema as a diagnostic test in patients with suspicion of colorectal cancer or of other colonic pathologies shows worse outcomes in identifying polyps as well as established neoplasms in comparison with colonoscopy or colonography computed tomography.
When diagnosing colorectal cancer or other colon pathologies the barium enema should not ...
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Sociedad Catalana de Psiquiatría y Salud Mental
The main objective of urinalysis is to effectively determine the drug abstinence status, i.e. cocaine, heroin, as declared by the patient and suggested by the clinic. Routine urine testing for likely drugs of abuse is frequent.
The indiscriminate screening of drugs of abuse involves a high, unjustified expenditure. Test sampling according to a personalised plan based on the patient's evolution, or testing randomly selected samples are preferred options.
The routine urine testing for evidence ...