Use a restrictive strategy for transfusions of red blood cells (RBCs) (hemoglobin threshold 7-8 g/dl) in patients with anemia in the absence of acute coronary syndrome, current major bleeding or critical conditions and in patients with chronic anemia.
The restrictive strategy, both in patients with chronic anemia and in those with anemia in the absence of acute coronary syndrome or active major bleeding, including patients hospitalized with onco-haematological pathologies, consists in the transfusion of...Do not perform repetitive laboratory tests when patients show clinical and laboratory stability.
During hospitalization, internal medicine patients often undergo a high number of blood samples for lab tests, usually redundant and repetitive, resulting in further diagnostic procedures. Frequent blood sampling is responsible for iatrogenic anemia with consequent...
Don’t diagnose asthma without having performed lung function tests (including bronchodilating test and/or bronchial challenge).
Asthma-like symptoms (dyspnoea, chest tightness, cough, wheezing) are not enough to put a correct diagnosis of asthma.The international guidelines stress the need to perform lung function assessment in order to identify the presence of airway hyperreactivity or...
Do not recommend PEG (Percutaneous Endoscopic Gastrostomy) in advanced dementia; instead, prefer assisted oral feeding.
PEG or Nasogastric Tube placement should be limited to probable reversible conditions or for a short time period (e.g. post stroke, acute infections). The use of PEG is not recommended in patients affected by advanced dementia since it does not increase survival, does...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
Recent Comments