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Non-Intubated Video-Assisted Thoracoscopic Surgery

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Evidence-based medicine in anesthesiology.

P J Pronovost¹, S M Berenholtz, T Dorman

¹Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland 21289-7294, USA. ppronovo@jhmi.edu

Anesthesia and Analgesia

|February 28, 2001

Summary

Evidence-based medicine (EBM) improves clinical decision-making by integrating scientific evidence and patient values. While EBM should supplement, not replace, other approaches, its application in anesthesiology requires further research to enhance patient outcomes.

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Area of Science:

Clinical Medicine
Anesthesiology
Health Policy

Background:

Clinical decision-making often conflates opinion with evidence.
There is a growing need for science-based approaches in patient care.
Integrating patient values into decision-making is crucial, particularly in anesthesiology.

Purpose of the Study:

To explore the role of evidence-based medicine (EBM) in clinical decision-making.
To highlight the importance of EBM in anesthesiology for issues like preoperative testing and postoperative analgesia.
To assess the potential of EBM to improve patient outcomes by combining scientific evidence with patient values.

Main Methods:

The study reviews the principles and potential applications of EBM.
It discusses the integration of scientific evidence and patient preferences in clinical practice.
The abstract suggests a need for critical appraisal skills enhancement.

Main Results:

Explicitly making clinical decisions science-based can differentiate evidence from opinion.
EBM can enhance critical appraisal skills, improving practice, teaching, and research.
Evidence supporting EBM's impact on outcomes outside internal medicine is increasing but still sparse.

Conclusions:

Evidence-based medicine (EBM) should supplement, not substitute, existing patient care and teaching methods.
EBM holds significant potential for improving patient outcomes in anesthesiology by incorporating scientific evidence and patient values.
Further research is recommended to evaluate EBM's effectiveness in anesthesiology and critical care settings.