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.

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@article{94aa29a787624706813f806c20b1f29b,
title = "Hemodynamic monitoring in the era of evidence-based medicine",
abstract = "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.",
author = "Bernd Saugel and Malbrain, {Manu L N G} and Azriel Perel",
year = "2016",
month = dec,
day = "20",
doi = "10.1186/s13054-016-1534-8",
language = "English",
volume = "20",
pages = "401",
journal = "CRIT CARE",
issn = "1364-8535",
publisher = "Springer Science + Business Media",
number = "1",

}

RIS

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 -