Withdrawn Evidence Links

Abdominal Aortic Aneurysm Repair Hospital Preoperative For patients undergoing elective AAA repair, the evidence for preoperative systemic corticosteroid administration is inconclusive Postoperative For patients undergoing elective AAA repair, the evidence for early enteral feeding postoperatively is inconclusive Acute Myocardial Infarction/STEMI All Venues (except IV Thrombolysis) Diuretics: Loop Venues: Admission to ICU, Admission to Telemetry, Modular Order Set (ICU and Telemetry) Avoid Valsalva maneuver Cardiac Glycosides Cardiac monitor Complete blood cell count with automated white blood cell differential Consider early transfer for eligible patients For patients who have acute MI/STEMI and heart failure, DVT prophylaxis should be administered, with an LMWH as the preferred agent Sodium Chloride 0.9% IV VTE Prophylaxis: Low-Dose Unfractionated Heparin VTE Prophylaxis: Low-Molecular-Weight Heparins Venues: Admission to ICU, Emergency Department Treatment, Modular Order Set (ICU and Telemetry) Consider intra-arterial pressure monitoring for a specific subset of patients Consider pulmonary artery catheter monitoring for patients who develop certain complications Emergency Department Treatment Avoid Valsalva maneuver Cardiac Glycosides Cardiac monitor Complete blood cell count with automated white blood cell differential Sodium Chloride 0.9% IV IV Thrombolysis Cardiac monitor Complete blood cell count with automated white blood cell differential Biliary Atresia – Neonatal Venues: Admission to Level III NICU, Starter Order Set (based on Admission to Level III NICU) Phenobarbital level Critical Care Management – Adult Short Set > Venue > Admission to ICU 12-lead ECG Cardiac monitor For patients who have been receiving a propofol infusion for 2 days, monitor triglyceride concentrations Triglycerides Critical Care Management – Pediatric Short Set > Venue > Admission to PICU Assess neurologic status Cardiac monitor For patients with delirium, consider the use of a neuroleptic agent Diabetes/Hyperglycemia Venues: Short Set > Management > Diabetes/Hyperglycemia, Starter Order Set (based on Short Set > Management > Diabetes/Hyperglycemia) For hospitalized patients with diabetes mellitus or nondiabetic hyperglycemia, avoid initiation of thiazolidinediones for inpatient glycemic control; however, evidence for its continuation or discontinuation in the inpatient setting remains unclear and requires evaluation of the specific clinical situation For hospitalized patients with diabetes mellitus or nondiabetic hyperglycemia, avoid the routine use of metFORMIN For hospitalized patients with diabetes mellitus or nondiabetic hyperglycemia, the evidence for the use of sulfonylureas is inconclusive For selected hospitalized patients with diabetes mellitus, consider allowing insulin self-management as an adjunct to standard diabetes care Insulins: Continuous Infusions Sulfonylureas The use of thiazolidinediones in patients with CHF or other heart disease should be undertaken with caution DKA/HHS – Pediatric All Venues (except Discharge) 12-lead ECG Admit patients at risk for cerebral edema or with severe DKA to the ICU Assess neurologic status Blood gas, arterial Blood urea nitrogen Calcium level, serum, total Complete blood cell count with automated white blood cell differential Creatinine (Cr), serum Electrolyte panel Glucose, serum, random Hematocrit (Hct) Ketones, urine Osmolality, serum Phosphate Supplements Phosphorus level, serum Potassium level, serum Urinalysis (UA) with microscopy Venues: Admission to Pediatric Med/Surg, Admission to PICU, Starter Order Set (based on Admission to PICU) Consider phosphate replacement for serum phosphate less than 1.0 mg/dL or for hypophosphatemia signs (eg, anemia, cardiac dysfunction, hypoxia) Glucose, blood, point-of-care measurement fingerstick Measure intake and output Perform hourly monitoring of vital signs Venues: Admission to PICU, Emergency Department Treatment, Starter Order Set (based on Admission to PICU) Alkalinizing Agents Avoid the routine use of IV bicarbonate if pH is 7.0 or greater Consider adding bicarbonate to IV fluid therapy if pH is less than 6.9 or in the presence of life-threatening hyperkalemia Consider addition of potassium to IV fluids, based on the serum potassium levels and generally at a rate less than or equal to 0.5 mmol/kg per hour Admission to Pediatric Med/Surg Blood gas, venous Consider oral rehydration for patients who are showing significant clinical improvement in response to treatment Admission to PICU Blood gas, venous Perform hourly (or more frequent) monitoring of input and output Perform hourly (or more frequent) neurologic checks Perform hourly glucose monitoring Emergency Department Treatment Blood gas, venous Consider oral rehydration for patients who are showing significant clinical improvement in response to treatment Glucose, blood, point-of-care measurement Urine dipstick, point-of-care measurement Vital signs Starter Order Set (based on Admission to PICU) Perform hourly (or more frequent) monitoring of input and output Perform hourly (or more frequent) neurologic checks Perform hourly glucose monitoring Vital signs Heart Failure All Venues (except Discharge) Measure height Lumbar Laminectomy All Venues Education, activity Hospital Preoperative Consider perioperative patient education Lung Resection Postoperative For high-risk patients, the evidence for an inhaled short-acting beta-2 agonist postoperatively is inconclusive Prematurity – Neonatal All Venues Apnea monitor Short Set > Venue > Discharge from NICU – Prematurity Cardiac monitor Preterm Labor All Venues (except Admission to Antepartum and Discharge) Culture, urine Syncope Emergency Department > Symptoms > Syncope Perform a history and physical examination to aid with diagnosis Transplant – Liver Venues: Hospital Preoperative, Postoperative Diuretics: Osmotic Intracranial pressure monitor Starter Order Set (based on Hospital Preoperative) Diuretics: Osmotic Urinary Tract Infection – Adult All Venues (except Discharge) Culture, blood

Split Evidence Links

There are no split evidence links.

New Modules

Antimicrobials – Empiric, Adult

New Evidence Topics

Acute Myocardial Infarction/STEMI: Hypothermia Appendicitis/Appendectomy – Adult: Surgery Timing Appendicitis/Appendectomy – Pediatric: Early Discharge Appendicitis/Appendectomy – Pediatric: Protocol – Diagnostic Brain Injury: Glucose Management Cancer – Lung, Small Cell: Stage Documentation Colectomy: Blood Transfusion Colectomy: C-Reactive Protein Colectomy: Infection Control Colectomy: MRI – Pelvis Critical Care Management – Adult: Analgesics – Adjuvant Critical Care Management – Adult: Antipsychotic Agents Critical Care Management – Adult: Early Mobilization Critical Care Management – Adult: Protocol – Glucose Management Critical Care Management – Neonatal: Telemedicine Depression: Consult – Case Management Dyslipidemia: Hormone Replacement Therapy Gastrointestinal Bleeding – Lower: CT – Enterography Gastrointestinal Bleeding – Upper: Condition Volume Gastrointestinal Bleeding – Upper: Specialty Provider Hepatectomy: MRI – Abdomen Hepatectomy: MRI – Pelvis Hysterectomy – Abdominal: Protocol – Fast-tracking Lung Resection: Care Setting Lung Resection: Protocol – Fast-tracking Lymphoma – B-Cell, Diffuse Large: Stage Documentation Lymphoma – B-Cell, Follicular: Stage Documentation Lymphoma – Hodgkin: Stage Documentation Necrotizing Enterocolitis – Neonatal: Care Setting Newborn Management: Clothing Choice Perioperative Care: Antipsychotic Agents Pneumonia – CAP, Adult: Noninvasive Ventilation Pneumonia – Nosocomial: Polymyxin Derivatives Prematurity – Neonatal: Organizational Policy Prematurity – Neonatal: Protocol – Retinopathy of Prematurity Screening Retinopathy of Prematurity – Neonatal: Follow-up Retinopathy of Prematurity – Neonatal: Parent/Caregiver Education Retinopathy of Prematurity – Neonatal: Retinal Examination Spontaneous Abortion: Cervical Dilator Spontaneous Abortion: Nitrates Spontaneous Abortion: Progestins Transplant – Heart: Continuous Cardiac Monitoring Transplant – Heart: ECG Transplant – Heart: Postoperative Monitoring Transplant – Heart: Vasoactive Agents Unstable Angina/NSTEMI: Activity Urinary Tract Infection – Adult: History and Physical Examination Venous Thromboembolism – Prophylaxis: Reminder System