From: Paradigm shifts in critical care medicine: the progress we have made
• From small, closed units to larger, more open ICUs |
• From a paternal "dictatorship" to more democratic "teamwork" |
• Changes in monitoring from intermittent to continuous, invasive to less invasive |
• From too much to just enough ... |
• Critical illness is not a single phenomenon but part of a patient's disease trajectory |
• Expanding beyond the physical ICU structure |
• Positive randomized controlled trials are not the only evidence |
• Checklists are more helpful than protocols |
• Death can be a "good" outcome |