Science and fiction in critical care: established concepts with or without evidence?

In the absence of evidence, therapies are often based on intuition, belief, common sense or gut feeling. Over theyears, some treatment strategies may become dogmas that are eventually considered as state-of-the-art and notquestioned any longer. This might be a reason why there are many examples of“strange”treatments in medicalhistory that have been applied in the absence of evidence and later abandoned for good reasons.In this article, five dogmas relevant to critical care medicine are discussed and reviewed in the light of the availableevidence.

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