Guidelines evidence-based

A number of evidence-based guidelines exist to help choose appropriate acute stroke therapy. 

Outside of the evidence-based guidelines, other pharmacologic treatments are commonly used or avoided. For initial treatment of absence seizures, ethosuximide and valproate are commonly used, not only in the United Kingdom, but also in the United States. Zonisamide may be also used for initial treatment of absence and myoclonic seizures. In absence and myoclonic seizures, carbamazepine, oxcarbazepine, gabapentin, tiagabine, and pregabalin should be avoided, as they have been associated with an exacerbation of these types of seizures. 

TABLE 27-2. Evidence-Based Guidelines for Initial Monotherapy Treatment of Epilepsy... 

Hutt E, Kramer AM. Evidence-based guidelines for management of nursing home-acquired pneumonia. I Fam Pract 2002 51 709-716. 

O A risk assessment should be performed at presentation of febrile neutropenia to identify low-risk patients for potential outpatient treatment (see Table 96-3). Patients who do not meet low-risk criteria should be hospitalized for parenteral administration of broad-spectrum antibacterials. The IDSA has published evidence-based guidelines for the management of febrile neutropenia5,12 (Fig. 96-1). The choice of initial antimicrobial agent(s) depends on the following factors ... 

Anderson IM, Nutt DJ and Deakin JFW (2000). Evidence-based guidelines for treating depressive disorders A revision of the 1993 British Association for Psychopharmacology guidelines. Journal of Psychopharmacology, 14, 3-20. 

The philosophies for providing CPR and emergency cardiovascular care (ECC) have been organized and revised periodically by the American Heart Association. The latest evidence-based guidelines for CPR and ECC resulted from the Guidelines 2005 Conference (Table 7-1). 

Data from American Psychiatric Association. Diagnostic and Statistical Manuai of Mental Disorders, 4th edv text revision. Washington, DC American Psychiatric Association, 2000 429-484 and Baldwin DS, Anderson iMr Nutt DJr et al. Evidence-based guidelines hr the pharmacological treatment of anxiety disorders Recommendations from the British Society for Psychopharmacology. J Psychopharmacology 2005 19 567-596. 

Mosca L, Appel LJ, Benjamin EJ et al. (2004) Evidence-based guidelines for cardiovascular disease prevention in women. Circulation 109 672-693... 

Bergman, D.A. (1999) Evidence-based guidelines and critical pathways for quality improvement. Pediatrics 103(1 Suppl E) 225-232. 

MacIntyre NR, Cook DJ, Ely WE, Epstein SK, Eink JB, Heffner JE, Hess D, Hubmayer RD, Scheinhorn DJ (2001) Evidence-based guidelines for weaning and discontinuing ventilatory support. Chest 120(6) 375-395... 

Dolovich MB, Ahrens RC, Hess DR, et al. Device selection and outcomes of aerosol therapy evidence-based guidelines American College of Chest Physicians/American College of Asthma, Allergy, and Immunology. Chest. 2005 127 335-371. 

Goodwin GM. Evidence-based guidelines for treating bipolar disorder recommendation from the British Association of Psychopharmacology. J Psychopharmacol 2003 17 149-73. 

Antiviral Drug Evidence-Based Guidelines—cont d... 

Nutt, D. J. (2004). Evidence-based guidelines for the pharmacological management of substaiKc misuse, addiction, and CO- morbidity Recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology, 18, 293-335. 

Bruns D , Watine j, Sandberg S, Horvath AR. Evidence-based guidelines in laboratory medicine principles and methods. Clin Chem 2004 50 606-818.)... 

The clinical laboratory has a vital role in both the diagnosis and management of diabetes mellitus. Some of the important parameters assayed are outlined in Table 25-4. In 2002 the National Academy of Clinical Biochemistry (referred to as the NACB) published evidence-based guidelines for laboratory analysis in diabetes mellitus. The guidelines were reviewed by the Professional Practice Committee of the ADA and were consistent in those areas where the ADA also published recommendations. Specific recommendations for laboratory testing based on pubfished data or derived from expert consensus are presented,A brief overview is presented here. 

Secondly, clinicians have argued that evidence-based guidelines do not accommodate individual patients and their specific circumstances or needs. It may be necessary to remind clinicians that guidelines are not tramlines — they apply to a specific population, and their recommendations should be tailored to the needs of their individual patients. This is discussed later in this article. 

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