Intensive Care Med (2017) 43:1392–1394 DOI 10.1007/s00134-017-4724-1 WHAT ’S NE W IN INTENSIVE C ARE Evidence or belief-based medicine? Ten doubts 1* 2 1 Luciano Gattinoni , John J. Marini and Michael Quintel © 2017 Springer-Verlag Berlin Heidelberg and ESICM Our practice of medicine is based on beliefs, which are • Common beliefs (positive or negative) supported by the positive mental attitudes towards the likelihood randomized clinical trials. of something being true or, better yet, of advantage for • Common beliefs immediately accepted because of patients, with or without evidence that this is the case. ‘extra-medical’ factors. Beliefs that have been substantiated by convincingly sup- portive clinical data form the core of ‘evidence-based Common beliefs without support medicine’. Unfortunately, such evidence contributes to 1. The most spectacular example in this category is that only a fraction of our beliefs. Among the hundreds of fac- sepsis is a disproportionate host response to an infection. tors which condition those beliefs, we briefly discuss the This fascinating theory was expressed by Sir William ones we consider more relevant in intensive care. Osler in 1904 and has been continuously repeated until As shown in Table 1, our beliefs originate from differ - it has
Intensive Care Medicine – Springer Journals
Published: Feb 24, 2017
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