5 Things Clinicians and Patients Should Question in Critical Care
CCCS released a list of “5 Things Clinicians and Patients Should Question” in Critical Care as part of the Choosing WiselyCanada campaign.
Many of you played a part in the creation of these recommendations and for that we thank you.
Choosing Wisely Canada is a campaign to help clinicians and patients engage in conversations about unnecessary tests and treatments and make
smart and effective choices to ensure high-quality care.
The list identifies 5 targeted, evidence-based recommendations that can support clinicians and patients in making wise choices about their
care and includes:
Don’t start or continue life supporting interventions unless they are consistent with the patient’s values and realistic goals of care.
Don’t prolong mechanical ventilation by over-use of sedatives and bed rest.
Don’t continue mechanical ventilation without a daily assessment for the patient’s ability to breathe spontaneously.
Don’t order routine chest radiographs for critically ill patients, except to answer a specific clinical question.
Don’t routinely transfuse red blood cells in hemodynamically stable ICU patients with a hemoglobin concentration greater than 70 g/l (a threshold of 80 g/L may be considered for patients undergoing cardiac or orthopedic surgery and those with active cardiovascular disease).