Hemodynamic monitoring in the era of evidence-based medicine

Bernd Saugel, Manu L N G Malbrain, Azriel Perel

Research output: Contribution to journalEditorial

11 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)401-401
Number of pages3
JournalCritical Care
Volume20
Issue number1
DOIs
Publication statusPublished - 20 Dec 2016

Keywords

  • Critical Illness
  • Evidence-Based Medicine
  • Hemodynamic Monitoring
  • Humans
  • Editorial

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