Bloomsbury Institute of Intensive Care Medicine, Department of Medicine, University College London, London WC1E 6BT, UK.
Crit Care. 2011 Jul 26;15(4):225. doi: 10.1186/cc10245.
Many advances in medicine have been achieved through challenging established dogma with revolutionary thought and novel practices. Each and every specialty is reinvigorated by regular re-evaluation of processes and practices in the light of new evidence and fresh conceptualization. Challenge can galvanize fresh thinking and new approaches, yet may also reinforce and strengthen traditional paradigms if the prevailing orthodoxy is subsequently revalidated. This article is a synopsis of a roundtable meeting held in Brussels in March 2010 designed specifically to confront doctrine with reasoned scientific argument, and to propose new ideas for advancing critical care practices and outcomes.
许多医学领域的进展都是通过用革命性的思想和新颖的实践来挑战既定的教条而取得的。每个专业领域都通过定期根据新证据和新概念重新评估流程和实践来重新焕发活力。挑战可以激发新的思维和新的方法,但如果流行的正统观念随后得到再次验证,它也可能强化和巩固传统模式。本文是 2010 年 3 月在布鲁塞尔举行的一次圆桌会议的概要,该会议旨在用合理的科学论据来对抗教条,并为推进重症监护实践和结果提出新的想法。