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Abstract
Evidence-based medicine is the integration of individual clinical expertise with the best available research and the patient’s values and expectations. The efficient approach to finding the best evidence is to identify systematic reviews or evidence-based clinical practice guidelines. Respiratory therapies that are supported by evidence include lung-protective ventilation and noninvasive ventilation for individuals with COPD. Evidence does not support postoperative incentive spirometry or intermittent mandatory ventilation. The principles of evidence-based medicine are a valuable approach to respiratory care practice.
Footnotes
- Correspondence: Dean R Hess PhD RRT FAARC. E-mail: dhess{at}aarc.org
Dr Hess presented a version of this paper as the 47th Donald F Egan Scientific Memorial Lecture at AARC Congress 2020 LIVE!, held virtually, on December 3, 2020.
Dr Hess has disclosed relationships with Ventec Life Systems, Daedalus Enterprises, Jones and Bartlett, McGraw-Hill, and UpToDate.
- Copyright © 2021 by Daedalus Enterprises
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- Article
- Abstract
- Introduction
- What Is Evidence-Based Medicine?
- Hierarchy of Evidence
- Finding the Evidence
- Study Types
- Considerations When Reading a Published Paper
- Questions to Ask When Reading a Paper Reporting the Results of an RCT
- Therapy That Evidence Supports
- Therapy That Evidence Does Not Support
- Why Isn’t the Best Evidence Implemented Into Practice?
- Summary
- Footnotes
- References
- Figures & Data
- Info & Metrics
- References