Clinical review: Evidence-based perioperative medicine?

doi:10.1186/cc2932

Critical Care
Volume 9
Issue 1

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This article is part of a series on High risk surgical patient management, edited by David Bennett.

Review

Clinical review: Evidence-based perioperative medicine?

Hanif Meeran¹ and Michael PW Grocott²

¹Research Fellow, Centre for Anaesthesia, University College London, UK

²Research Fellow, Surgical Outcomes Research Centre, University College London Hospitals, UK

author email corresponding author email

Critical Care 2005, 9:81-85doi:10.1186/cc2932


Published:	19 August 2004

Abstract

The present article outlines the basic principles of Evidence Based Medicine (EBM) and how they should guide clinical practice. The evidence supporting a selection of perioperative interventions is assessed against objective criteria. Many of the perioperative interventions that have been widely adopted into clinical practice are supported by very limited evidence. Conversely a high level of evidence supports other interventions that have not been so widely adopted. This may be due to concerns about limitations in the design and conduct of some of the clinical trials.