Don’t routinely use personal protective equipment (gowns, masks, hats, gloves, ….) for the access of family members in ICU. (Green recommendation)
The infections related to care practices are an important cause of morbidity, mortality, prolonged hospital stay and have a significant economic impact. Patients admitted to intensive care units (ICU) are at high risk of acquiring infections due to reduced immunity...
Don’t perform endotracheal aspirations at regular intervals but according to early indicators of retention of bronchial secretions.
Endotracheal suctioning of secretions through a ventilatory prosthesis (orotracheal or tracheostomy tube) is not a riskless procedure. Despite international literature is lacking both on the ways and on the times of suction, since long ago the main recommendations are...
Don’t replace regularly the mechanical ventilator circuits to reduce the risk of VAP (Ventilator Associated Pneumonia)
Routine replacement of the mechanical ventilator circuits is not recommended. These should only be replaced if they are visibly dirty (with plenty of moisture and / or secretions). VAPs produce increased morbidity and mortality and rise the costs for hospitalized...
Don’t clamp the umbilical cord before 1 minute in neonates that do not need immediate resuscitation manouvres.
In term and preterm neonates that don’t need immediate resuscitation manouvres the umbilical cord should be clamped after 1 minute from birth or when it stops pulsating. Delayed cord clamping increases birth weight and haemoglobin levels in neonates. Iron deposits are...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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