The impact of therapeutic minimalism on the care of critically patients

Abstract

Objective: To analyze the role of therapeutic minimalism in the care of critically ill patients in the intensive care unit. Literature review: The traditional model of intensive care has historically been based on therapeutic intensification, with the simultaneous use of multiple medications, invasive devices, and continuous monitoring. Although these interventions have contributed to advances in maintaining vital functions, their indiscriminate application may favor adverse events such as polypharmacy, drug interactions, healthcare-associated infections, and complications resulting from prolonged use of invasive devices. In this context, therapeutic minimalism emerges as an evidence-based approach that proposes the rationalization of interventions, prioritizing effective and individualized care. Strategies such as deprescribing, reducing low-value tests and procedures, careful sedation management, early mobilization, and timely removal of invasive devices demonstrate potential to reduce complications such as delirium, ventilator-associated pneumonia, and medication-related adverse events. Final considerations: Therapeutic minimalism represents a relevant strategy to improve intensive care by promoting the rationalization of interventions and reducing iatrogenic harm associated with excessive treatment.