[The evidence-based neurointensive care: what's next?]

Area of Science:

• Neuroscience
• Intensive Care Medicine
• Evidence-Based Medicine

Context:

• Neurointensive care faces challenges in optimizing treatment for brain diseases and injuries.
• The rise of evidence-based medicine (EBM) has influenced clinical decision-making.
• Randomized controlled trials (RCTs) are a cornerstone of EBM but have limitations.

Purpose:

• To analyze modern trends in neurointensive care cognition.
• To evaluate the emergence and development of EBM in brain injury and disease treatment.
• To address the limitations of EBM in neurointensive care.

Summary:

• EBM demonstrates positive features but often lacks individualized treatment plans and sufficient data from RCTs for complex neurological conditions.
• The study proposes integrating EBM with a "classical style" of treatment.
• This integrated approach emphasizes individual clinical judgment, pathophysiology, advanced technology, and retrospective analysis.

Impact:

• The proposed hybrid model aims to improve patient outcomes by tailoring treatments to individual needs.
• Development of individual prognostic models and data banks of disease progression is recommended.
• The study suggests that standardized protocols are best for acute situations, while a classical, individualized approach suits chronic conditions.