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 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...
Do not stent a stenotic renal artery unless there is refractory hypertension or declining renal function.
Renal artery stenting requires excellent expertise because it may cause rupture, dissection or thrombosis of the artery. Furthermore, there is no difference between best medical treatment and stenting, according to recent studies.
Do not perform open or endovascular treatment of lower limb lesions unless there is disabling claudication, critical limb ischemia or diabetic foot.
Treating a stenotic or occluded artery of the lower limbs that does not cause symptoms is inappropriate. There is no evidence that such a treatment would improve the evolution of the disease. Any treatment may expose the patient to the risk of relapse, often with a...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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