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Resultados de RecomendacionesRegistros :  6747

Don’t transfuse plasma to correct a mildly elevated (<1.8) international normalized ratio (INR) or activated partial thromboplastin time (aPTT) before a procedure.


Hemoterapia Basada en el Sentido Común

Canadian Society of Transfusion Medicine


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).

ver más ... 2016

Don’t administer plasma or prothrombin complex concentrates for non-emergent reversal of vitamin K antagonists (i.e. outside of the setting of major bleeding, intracranial hemorrhage or anticipated ...


Hemoterapia Basada en el Sentido Común

American Society of Hematology


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.

ver más ... 2016

Don’t routinely use blood products to reverse warfarin.


Hemoterapia Basada en el Sentido Común

American Association of Blood Banks


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.

ver más ... 2016

Barium enema should not be used as first choice for diagnosis suspicious cases of colorectal cancer or other colonic pathologies.


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 ...

ver más ... 2016

In the outpatient treatment for substance addictions, the routine urine testing for evidence of drug abuse is not recommended.


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 ...

ver más ... 2016