Hemodynamic monitoring in the era of evidence-based medicine
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Hemodynamic monitoring in the era of evidence-based medicine. / Saugel, Bernd; Malbrain, Manu L N G; Perel, Azriel.
In: CRIT CARE, Vol. 20, No. 1, 20.12.2016, p. 401.Research output: SCORING: Contribution to journal › Other (editorial matter etc.) › Research
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TY - JOUR
T1 - Hemodynamic monitoring in the era of evidence-based medicine
AU - Saugel, Bernd
AU - Malbrain, Manu L N G
AU - Perel, Azriel
PY - 2016/12/20
Y1 - 2016/12/20
N2 - Hemodynamic instability frequently occurs in critically ill patients. Pathophysiological rationale suggests that hemodynamic monitoring (HM) may identify the presence and causes of hemodynamic instability and therefore may allow targeting therapeutic approaches. However, there is a discrepancy between this pathophysiological rationale to use HM and a paucity of formal evidence (as defined by the strict criteria of evidence-based medicine (EBM)) for its use. In this editorial, we discuss that this paucity of formal evidence that HM can improve patient outcome may be explained by both the shortcomings of the EBM methodology in the field of intensive care medicine and the shortcomings of HM itself.
AB - Hemodynamic instability frequently occurs in critically ill patients. Pathophysiological rationale suggests that hemodynamic monitoring (HM) may identify the presence and causes of hemodynamic instability and therefore may allow targeting therapeutic approaches. However, there is a discrepancy between this pathophysiological rationale to use HM and a paucity of formal evidence (as defined by the strict criteria of evidence-based medicine (EBM)) for its use. In this editorial, we discuss that this paucity of formal evidence that HM can improve patient outcome may be explained by both the shortcomings of the EBM methodology in the field of intensive care medicine and the shortcomings of HM itself.
U2 - 10.1186/s13054-016-1534-8
DO - 10.1186/s13054-016-1534-8
M3 - Other (editorial matter etc.)
C2 - 27993153
VL - 20
SP - 401
JO - CRIT CARE
JF - CRIT CARE
SN - 1364-8535
IS - 1
ER -