Critical Care Societies Collaborative: Choosing Wisely
The Critical Care Societies Collaborative (CCSC) released a list of “Five Things Physicians and Patients Should Question” in critical care as part of the Choosing Wisely® campaign, led by the ABIM Foundation. The list identifies five targeted, evidence-based recommendations that can support physicians and patients in making wise choices about their care:
- Don’t order diagnostic tests at regular intervals (such as every day), but rather in response to specific clinical questions.
- Don’t transfuse red blood cells in hemodynamically stable, non-bleeding ICU patients with a hemoglobin concentration greater than 7 mg/dL.
- Don’t use parenteral nutrition in adequately nourished critically ill patients within the first seven days of an ICU stay.
- Don’t deeply sedate mechanically ventilated patients without a specific indication and without daily attempts to lighten sedation.
- Don’t continue life support for patients at high risk for death or severely impaired functional recovery without offering patients and their families the alternative of care focused entirely on comfort.