Withdrawn Evidence Links

Asthma – Pediatric All Venues (except Starter Order Set [based on Admission to Pediatric Med/Surg]) The evidence for the use of exhaled nitric oxide to tailor therapy is conflicting Bipolar Disorder Admission to Psychiatry Unit Education, diet Discharge Consult to dietitian, adult Education, diet Bronchiolitis – Pediatric All Venues (except Discharge) Avoid the routine use of laboratory testing to diagnose bronchiolitis Cholecystectomy Postoperative For patients undergoing uncomplicated cholecystectomy, avoid the routine use of abdominal drains Deep Venous Thrombosis – Prophylaxis Venues: Short Set > Prevention > DVT Prophylaxis > Burns, Short Set > Prevention > DVT Prophylaxis > Burns > Nursing Orders, Short Set > Prevention > DVT Prophylaxis > Surgery > Neurosurgery > General Management, Short Set > Prevention > DVT Prophylaxis > Surgery > Neurosurgery > General Management > Nursing Orders Apply anti-embolic stockings (graduated) Intermittent pneumatic compression Short Set > Prevention > DVT Prophylaxis > Burns For patients who have burns and a high bleeding risk, IPC or graduated compression stockings should be used For patients without contraindications who have burns and an additional risk factor for VTE, DVT prophylaxis with an LMWH or LDUH should be used Short Set > Prevention > DVT Prophylaxis > Burns > Medications For patients without contraindications who have burns and an additional risk factor for VTE, DVT prophylaxis with an LMWH or LDUH should be used Short Set > Prevention > DVT Prophylaxis > Burns > Nursing Orders For patients who have burns and a high bleeding risk, IPC or graduated compression stockings should be used Short Set > Prevention > DVT Prophylaxis > Surgery > Neurosurgery > General Management For patients undergoing major neurosurgery, perioperative DVT prophylaxis with IPC should be used For patients who are undergoing major neurosurgery, consider the use of perioperative DVT prophylaxis with an LMWH or LDUH as an alternative to the use of IPC Medications: Postoperative Short Set > Prevention > DVT Prophylaxis > Surgery > Neurosurgery > General Management > Medications Medications: Postoperative Short Set > Prevention > DVT Prophylaxis > Surgery > Neurosurgery > General Management > Nursing Orders For patients undergoing major neurosurgery, perioperative DVT prophylaxis with IPC should be used Deep Venous Thrombosis – Treatment All Venues (except Discharge) For patients diagnosed with acute DVT and treated with UFH, use the aPTT to assess and adjust the dose For patients diagnosed with acute DVT of the leg and treated with an LMWH, avoid the routine measurement of anti–factor Xa levels as a method of coagulation monitoring Partial thromboplastin time (PTT), activated Venues: Admission to ICU, Admission to Med/Surg, Emergency Department Treatment Heparin anti-factor Xa Gastrectomy Postoperative Avoid the routine use of prophylactic abdominal drains Leukemia – CLL Multiple-Drug Regimens > Chlorambucil + PredniSONE Chlorambucil + PredniSONE Regimen (cycled every 14 days) Chlorambucil + PredniSONE Regimen (cycled every 28 days) Nephrectomy Postoperative Analgesics: Opioids Pain – Acute Short Set > Management > Acute Pain – Surgical Consider the implementation of coordinated postoperative pain management based on guidelines and patient preferences to improve quality of care Percutaneous Coronary Intervention All Venues (except Short Set > Prevention > Contrast-Induced Nephropathy – Percutaneous Coronary Intervention) Do not give dipyridamole instead of a thienopyridine to patients who are intolerant to aspirin Pulmonary Embolism All Venues (except Discharge) For patients diagnosed with acute pulmonary embolism and treated with an LMWH, avoid the routine measurement of anti–factor Xa levels as a method of coagulation monitoring For patients diagnosed with pulmonary embolism and treated with UFH, use aPTT to assess and adjust the dose Partial thromboplastin time (PTT), activated Venues: Admission to ICU, Admission to Med/Surg, Emergency Department Treatment Heparin anti-factor Xa Sepsis – Pediatric All Venues (except Discharge) Avoid the routine use of heparin for CVC thrombosis prophylaxis Stroke – Ischemic Emergency Department Treatment Pregnancy test, urine, point-of-care measurement IV Thrombolysis Beta human chorionic gonadotropin (beta-HCG), urine qualitative Thoracentesis Preprocedure and Postprocedure Acid-fast bacilli (AFB), smear, pleural fluid Complement C3, pleural fluid Complement C4, pleural fluid Creatinine, pleural fluid Thyroidectomy Hospital Preoperative The evidence for the use of a cervical plexus block is conflicting, and the evidence for the use of a greater occipital nerve block is inconclusive Postoperative Avoid the routine use of neck drain insertion The evidence for the use of a cervical plexus block is conflicting, and the evidence for the use of a greater occipital nerve block is inconclusive Total Hip Replacement Discharge The use of interventional radiographic techniques (eg, arthrography) or hip aspiration may be a useful adjunct for follow-up Hospital Preoperative Consider implementing a program to identify at an early stage and to address key factors (eg, hematoma formation, persistent postoperative drainage) for the development of surgical infections Postoperative Consider implementing a program to identify at an early stage and to address key factors (eg, hematoma formation, persistent postoperative drainage) for the development of surgical infections The use of interventional radiographic techniques (eg, arthrography) or hip aspiration may be a useful adjunct for follow-up Urinary Tract Infection – Adult Venues: Admission to ICU, Admission to Med/Surg, Emergency Department Treatment Consult to urology for placement of suprapubic catheter For patients with an indwelling urinary catheter, consider the use of a suprapubic urinary catheter to decrease the risk for catheter-associated bacteriuria and UTI Discharge For patients with an indwelling urinary catheter, consider the use of a suprapubic urinary catheter to decrease the risk for catheter-associated bacteriuria and UTI

Split Evidence Links

There are no split evidence links.

New Modules

There are no new modules.

New Evidence Topics

Acute Myocardial Infarction/STEMI: Sexual Activity Alcohol Withdrawal: Antipsychotic Agents Asthma – Pediatric: Asthma Control Assessment Asthma – Pediatric: Consults Asthma – Pediatric: ED Order Sets Atrial Fibrillation: Care Setting Atrial Fibrillation: Clinical Guideline Atrial Fibrillation: Sexual Activity Education Bariatric Surgery: Care Setting Brain Injury: National Emergency X-Ray Utilization Study-II Rule Brain Injury: Opioids Bronchiolitis – Pediatric: Enteral Feeding Cardiac Surgery – Pediatric: Multidisciplinary Care Cesarean Delivery: Breast-feeding Education Cesarean Delivery: Skin-to-Skin Contact Cholecystectomy: Care Setting Cholecystectomy: Checklist Cholecystectomy: Specialty Provider Coronary Artery Bypass Graft Surgery: DVT Prophylaxis Coronary Artery Bypass Graft Surgery: Sexual Activity Deep Venous Thrombosis – Prophylaxis: Cardiac Surgery Deep Venous Thrombosis – Prophylaxis: Thoracic Surgery Deep Venous Thrombosis – Treatment: General Recommendations Delirium: Follow-up Heart Failure: Sexual Activity Heart Valve Replacement: DVT Prophylaxis Heart Valve Replacement: Sexual Activity Education Line Insertion – Central Venous: Platelet Transfusion Lumbar Laminectomy: DVT Prophylaxis Pain – Acute: Multidisciplinary Care Pain – Acute: Protocol – Pain Management Pain – Acute: Staff Education Palliative Care: Consult – Cardiology Pancreatitis – Acute: Clinical Pathway Percutaneous Coronary Intervention: Sexual Activity Pulmonary Embolism: General Recommendations Spinal Fusion – Adult: DVT Prophylaxis Stroke – Ischemic: Direct Thrombin Inhibitors Thoracentesis: Clinical Assessment Thoracentesis: Tumor Markers Thyroidectomy: Thyroid Function Tests Total Hip Replacement: Infection Surveillance Program Total Knee Replacement: Infection Control Transient Ischemic Attack: Direct Thrombin Inhibitors Unstable Angina/NSTEMI: Sexual Activity Urinary Diversion – Pediatric: Surgical Approach