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Challenging ICU Dogma: Where Routine Practice and Evidence Collide

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Intensive Care".

Deadline for manuscript submissions: 10 May 2026 | Viewed by 1

Special Issue Editors


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Guest Editor
Adult and Elderly Nursing, Faculty of Nursing, Tokyo University of Information Science, Chiba, Japan
Interests: intensive care nursing; delirium; sepsis; early mobilization; post-intensive care syndrome (PICS); mechanical ventilation

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Guest Editor
Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Ibaraki 305-8577, Japan
Interests: cardiovascular; heart; heart failure; cardiovascular pharmacology; endothelial function

Special Issue Information

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

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • critical care
  • intensive care unit (ICU)
  • clinical dogma
  • de-implementation
  • medical reversal
  • routine practices
  • clinical decision-making

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Published Papers

This special issue is now open for submission.
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