[Choosing wisely recommendations in intensive care medicine]

Area of Science:

• Internal Medicine
• Intensive Care Medicine

Background:

• Modern intensive care medicine enables survival for patients with severe acute internal diseases.
• Therapeutic success often depends on rapid diagnosis and standard treatment, rather than complex technologies.

Purpose of the Study:

• To present updated recommendations for intensive care medicine based on "Choosing Wisely" principles.
• To emphasize the importance of standard therapies, personalized treatment, and interprofessional teams.

Main Methods:

• Formulation of five positive and five negative recommendations by the DGIIN board.
• Updating a previously published manuscript for the Deutsches Ärzteblatt.

Main Results:

• "Less is more" approach demonstrated with standard therapies.
• Personalized treatment concepts are superior to aggressive strategies with higher goals.

Conclusions:

• Rapid diagnosis and prompt initiation of standard treatment are crucial.
• Well-organized interprofessional teams are vital for successful intensive care.
• Recommendations require individual assessment and potential modification for complex intensive care patients.