Key result
The greatest advance in intensive care unit management of sepsis over the past decade has been the recognition that less aggressive interventions improve patient outcomes by reducing iatrogenic harm.
Highlights the importance of minimizing unnecessary interventions in the ICU to prevent iatrogenic complications in critically ill patients.
Although many pharmaceutical and technological advances are heavily touted, they have had relatively little impact on overall outcome improvements in the critically ill. Acting on the increasing recognition that 'less may be best' has, in my opinion, been the greatest single advance in patient management in the intensive care unit in the past 10 years. Although certainly not qualifying as a 'brave new world' in terms of daring and exciting innovation, the importance of (often covert) iatrogenic complications should not be underestimated.
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Mervyn Singer (2006) conducted an editorial in Sepsis and critical illness. Less aggressive ICU management was evaluated. The greatest advance in intensive care unit management of sepsis over the past decade has been the recognition that less aggressive interventions improve patient outcomes by reducing iatrogenic harm.
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