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Establishing the indication for cataract surgery on the sole basis of obvious lens opacification is not recommended.
Smarter medicine
Sociedad Suiza de Oftalmología
Cataract surgery is a relative indication, which must be performed taking into account both the wishes of the patient and the individual operative risk. Only in rare cases is the operation absolutely necessary. This may be the case where lack of intervention could result in permanent visual impairment, e.g. in the context of an intumescent cataract with altered intraocular pressure.
ver más ... 2021It is not recommended to carry out advanced life support maneuvers without first discussing the therapeutic objectives with the patient or relatives who represent him and taking into account his ...
Smarter medicine
Sociedad Suiza de Medicina Intensiva
The positive effects hoped for are diminishing the inadequate tratamientos in its duration and/or intensity, promoting communication and information for the patient and familiar, and the harmonization of the decision-making processes in intensive care. The evidence that shows the medida its intervention studies, observational studies and recommendations of professional societies.
ver más ... 2021The routine use of imaging techniques is not recommended in asymptomatic patients, in the absence of clinical signs suggestive of ocular disease and in the absence of sequelae.
Smarter medicine
Sociedad Suiza de Oftalmología
The use of imaging techniques (eg, optical coherence tomography, fundus photography) is not indicated in the absence of symptoms, clinical signs, or therapeutic consequences. Appropriate use of modern imaging modalities helps reduce costs and conserve resources in healthcare.
ver más ... 2021It is recommended to limit the transfusion of red blood cells with a transfusion threshold of 70 g/l of hemoglobin in stable patients without bleeding.
Smarter medicine
Sociedad Suiza de Medicina Intensiva
The expected positive effects are the saving of blood products, the reduction of costs and the reduction of complications associated with transfusion (transfusion reactions, circulatory overload associated with transfusion TACO (circulatory overload, transfusion-associated lung injury TRALI). The evidence that supports the measure is intervention studies, observational studies and recommendations of professional societies.
ver más ... 2021It is not recommended to stop antiplatelet or anticoagulant therapy before intravitreal injections or cataract operations performed under general anesthesia.
Smarter medicine
Sociedad Suiza de Oftalmología
In the context of the interventions mentioned above, the perioperative bleeding risk is very low and is not significantly increased by taking antiplatelet agents or anticoagulants. On the other hand, discontinuation of these treatments increases the risk of thromboembolic complications in patients and is not justifiable for the mentioned interventions.
ver más ... 2021