Seven unconfirmed ideas to improve future ICU practice

John J. Marini, Daniel de Backer, Can Ince, Mervyn Singer, Frank van Haren, Martin Westphal, Paul Wischmeyer

Research output: Contribution to journalReview articleAcademicpeer-review

5 Citations (Scopus)

Abstract

With imprecise definitions, inexact measurement tools, and flawed study execution, our clinical science often lags behind bedside experience and simply documents what appear to be the apparent faults or validity of ongoing practices. These impressions are later confirmed, modified, or overturned by the results of the next trial. On the other hand, insights that stem from the intuitions of experienced clinicians, scientists and educators-while often neglected-help place current thinking into proper perspective and occasionally point the way toward formulating novel hypotheses that direct future research. Both streams of information and opinion contribute to progress. In this paper we present a wide-ranging set of unproven 'out of the mainstream' ideas of our FCCM faculty, each with a defensible rationale and holding clear implications for altering bedside management. Each proposition was designed deliberately to be provocative so as to raise awareness, stimulate new thinking and initiate lively dialog
Original languageEnglish
Pages (from-to)315
JournalCritical care (London, England)
Volume21
Issue number3
DOIs
Publication statusPublished - 2017

Cite this