Challenging ICU Dogma: Where Routine Practice and Evidence Collide

Dear Colleagues,

Daily practices in intensive care medicine stem from historical precedents and physiological rationales, as well as traditional methods that have persisted through time. The fast-paced development of clinical evidence requires us to regularly assess whether our established routines match the current scientific evidence. Standard practices of the past now face challenges, which have led to some practices being overturned.

This Special Issue, titled “Challenging ICU Dogma: Where Routine Practice and Evidence Collide”, serves as a platform to critically evaluate the deeply ingrained customs and established practices of critical care. This Issue will examine existing differences between established medical traditions and modern scientific findings.

We welcome high-quality research articles, systematic reviews, and meta-analyses centered on fluid resuscitation approaches, fever control, sedation and delirium protocols, ventilator management, weaning and nutritional care, blood sugar regulation, and standard laboratory assessments. In particular, the editorial team welcomes research that validates existing practices or presents new evidence to improve or contradict established methods.

Through this critical dialogue, we aim to support the elimination of unnecessary medical procedures while building evidence-based clinical practices for bedside care.

Dr. Yujiro Matsuishi
Dr. Nobutake Shimojo
Guest Editors

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