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Evidence-Based Medicine in Critical Care

  • P. F. Kotur

Abstract

The knowledge and skills obtained during the course of study in the medical school are insufficient to carry on a life-long successful practice. To make clinical decisions, the practicing physician, even today is largely dependent on his obsolete knowledge and expertise derived from unsystematic observations made during his training period, which can be as old as his medical course itself. It needs to be updated periodically with the findings of new scientific/medical research. The scientific research has to be translated into clinical practice for improving the patient care provided to the community. Patient’s values are rarely acknowledged and current practices are often outdated, with the result that the patient rarely gets the best currently available care. It is exactly 30 years since Archie Cochrane uttered the following words that sparked the “Evidence-Based Medicine” movement: “It is surely a great criticism of our profession that we have not organized a critical summary, by specialty or subspecialty, adapted periodically, of all randomized controlled trials” [1]. Today the practice of EBM has grown into the most popular paradigm or tool of translation of research into practice The application of Evidence-Based Medicine (EBM) principles can help us with this daunting task that challenges us daily to offer the “Best” patient care.

Keywords

External Evidence Organophosphorous Poisoning Single Bolus Dose Great Criticism Randomize Placebo Control Clinical Trial 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Chow TK (2009) It is the 30th birthday of “evidence based medicine” and time to meet cochrane’s challenge: Anesthesia Analgesia 108(5):1720CrossRefPubMedGoogle Scholar
  2. 2.
    Guyatt GH, Rennie D (eds) (2002) Users’ guides to the medical literature. A manual for evidence-based clinical practice. AMA Press, ChicagoGoogle Scholar
  3. 3.
    Straus SE, Richardson WS, Glasziou P, Haynes RB (2005) Evidence-based medicine: How to practice and teach EBM, 3rd edn. Elsevier-Churchill Livingstone, EdinburghGoogle Scholar
  4. 4.
    Haynes RB (2002) What kind of evidence is it that Evidence-Based Medicine advocates want health care providers and consumers to pay attention to? BMC Health Services Res 2:3, http://www.biomedcentral.com/1472-6963/2/3CrossRefGoogle Scholar
  5. 5.
    Porzsolt F, Ohletz A, Thim A, et al. (2003) Evidence-based decision making—The six step approach. Evid Based Med 8:165–166. www.evidence-basedmedicine.comCrossRefGoogle Scholar
  6. 6.
    Miser WF (1999) Evidence-based clinical practice—Critical appraisal of the literature, JABFP 12(4):315–333PubMedGoogle Scholar
  7. 7.
    Straus S, Haynes RB (2009) Managing evidence-based knowledge: The need for reliable, relevant and readable resources. CMAJ 180(9):942–945PubMedGoogle Scholar
  8. 8.
    Wyer PC, Keitz S, Hatala R (2004) Tips for learning and teaching evidence-based medicine: Introduction to the series. CMAJ 171(4):347–348PubMedGoogle Scholar
  9. 9.
    Isaac CA, Franceschi A (2008) Evidence to practice and practice to evidence. J Eval Clin Pract 14(5):656–659, NIH Public Access in PMCPubMedGoogle Scholar
  10. 10.
    Tonelli MR (1998) The philosophical limits of evidence-based medicine. Acad Med 73(12):1234–1240CrossRefPubMedGoogle Scholar
  11. 11.
    Waters E, Doyle J (2004) Systematic reviews of public health in developing countries are in train. BMJ 328:585CrossRefPubMedGoogle Scholar
  12. 12.
    Chinnock P, Siegfried N, Clarke M (2005) Is evidence-based medicine relevant to the developing world? PLoS Medicine (Journal online) May, vol 2; Issue 5; e107 Available from www.plosmedicine.orgGoogle Scholar
  13. 13.
    Volmink J, Swingler G, Siegfried N (2001) Where to practise evidence-based medicine? Lancet 357:724CrossRefPubMedGoogle Scholar
  14. 14.
    Pronovost PJ, Sean M.B, Todd D (2001) Evidence-based medicine in anaesthesiology. Anesth Analg 92:787–794CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • P. F. Kotur
    • 1
  1. 1.Department of AnaesthesiologyJawaharlal Nehru Medical CollegeBelgaumIndia

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