ArticleCritical care (London, England)2015
Paradigm shifts in critical care medicine: the progress we have made.
Article in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Beyond renal support: biological modulation across pathophysiological domains during continuous renal replacement therapy - a randomized pilot study.Frontiers in nephrology · 2026Article
- Virtual reality for relaxation in intensive care unit patients: feasibility, acceptability and intervention adaptation.Pilot and feasibility studies · 2025Article
- Self-reported symptoms in ICU patients and their impact on long-term outcomes-a prospective multicenter study.Intensive care medicine · 2025Article
- Machine Learning and Artificial Intelligence in Intensive Care Medicine: Critical Recalibrations from Rule-Based Systems to Frontier Models.Journal of clinical medicine · 2025Review
- Targeting CD73 and correcting adenosinergic signaling in critically ill patients.Frontiers in pharmacology · 2025Review
- Calibration trial of an innovative medical device (Frontiers in medicine · 2024Article
- Article
- Communication with mechanically ventilated patients in intensive care units: A concept analysis.Journal of advanced nursing · 2023Review
- Albumin in adult cardiac surgery: a narrative review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Review
- The feasibility and reliability of actigraphy to monitor sleep in intensive care patients: an observational study.Critical care (London, England) · 2021Observational
- Intelligent ICU for Autonomous Patient Monitoring Using Pervasive Sensing and Deep Learning.Scientific reports · 2019Observational
- Early mobilisation in mechanically ventilated patients: a systematic integrative review of definitions and activities.Journal of intensive care · 2019Article
- A day in the life.Translational pediatrics · 2018Article
- Characteristics of Critically-Ill Patients at Two Tertiary Care Hospitals in Sudan.Sultan Qaboos University medical journal · 2018Observational
- Article
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2 authors.
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Abstract
There have really been no single, major, advances in critical care medicine since the specialty came into existence. There has, however, been a gradual, continuous improvement in the process of care over the years, which has resulted in improved patient outcomes. Here, we will highlight just a few of the paradigm shifts we have seen in processes of critical care, including the move from small, closed units to larger, more open ICUs; from a paternal "dictatorship" to more "democratic" team-work; from intermittent to continuous, invasive to less-invasive monitoring; from "more" interventions to "less" thus reducing iatrogenicity; from consideration of critical illness as a single event to realization that it is just one part of a trajectory; and from "four walls" to "no walls" as we take intensive care outside the physical ICU. These and other paradigm shifts have resulted in improvements in the whole approach to patient management, leading to more holistic, humane care for patients and their families. As critical care medicine continues to develop, further paradigm shifts in processes of care are inevitable and must be embraced if we are to continue to provide the best possible care for all critically ill patients.
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