Do not exceed 24 hours of antibiotic prophylaxis after surgery, the duration of prophylaxis should be as short as possible.
The duration of surgical antibiotic prophylaxis should not exceed 24 hours. Many good quality studies have shown that antibiotic prophylaxis beyond 24 hours has no effect in reducing surgical site infections. The administration of additional prophylactic antibiotic...
Do not perform blood transfusions for arbitrary Hb values > 70 g/l but evaluate the clinical need of each individual patient (bleeding, hemodynamic stability, comorbidity).
Routine transfusion of packed red blood cells in critically ill patients admitted to the Intensive Care Unit based on arbitrary hemoglobin values greater than 70 g/l is not recommended. Several studies have shown that using a low transfusion threshold (70 g/l instead...
Do not perform blood tests routinely and daily in patients admitted to Intensive Care, but only on the basis of specific clinical questions.
Routine and systematic laboratory tests are not recommended for patients admitted to the Intensive Care Unit. It has been shown that routinely requesting them, rather than on the basis of specific clinical questions or with the aim of modifying the therapeutic plan,...
Do not perform routine blood tests on patients undergoing surgery (or anaesthetic evaluation).
Routine and systematic execution of pre-operative laboratory tests is not recommended. The most recent international guidelines (NICE 2018 and ESA 2016), based on the current evidence, do not recommend their routine execution; if performed systematically they do not...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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