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The Zentensivist Manifesto. Defining the Art of Critical Care
Evidence-based medicine asks us to integrate the best available evidence with clinical experience and patient values. In the modern intensive care unit, the primary focus is on complex technology and electronic health records, often away from the bedside. Excess interventionism is the norm. The term...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Thoracic Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043314/ https://www.ncbi.nlm.nih.gov/pubmed/33870290 http://dx.doi.org/10.34197/ats-scholar.2020-0019PS |
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author | Siuba, Matthew T. Carroll, Christopher L. Farkas, Joshua D. Olusanya, Segun Baker, Kylie Gajic, Ognjen |
author_facet | Siuba, Matthew T. Carroll, Christopher L. Farkas, Joshua D. Olusanya, Segun Baker, Kylie Gajic, Ognjen |
author_sort | Siuba, Matthew T. |
collection | PubMed |
description | Evidence-based medicine asks us to integrate the best available evidence with clinical experience and patient values. In the modern intensive care unit, the primary focus is on complex technology and electronic health records, often away from the bedside. Excess interventionism is the norm. The term “intensivist” itself implies an intensive management strategy, which can lead us away from a patient-centered practice and toward iatrogenic harm. Under the hashtag #zentensivist, an international, multiprofessional group of clinicians has begun to discuss via Twitter how to apply key principles of history taking, physical examination, physiology, pharmacology, and clinical research in a competent, compassionate, and minimalist fashion. The term “zentensivist” intentionally combines concepts seemingly at odds—Zen philosophy and intensive care—to describe a holistic approach to the art of caring for the critically ill. We describe the key tenets of zentensivist practice and how we may inspire these actions in those we lead and educate. |
format | Online Article Text |
id | pubmed-8043314 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | American Thoracic Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-80433142021-04-16 The Zentensivist Manifesto. Defining the Art of Critical Care Siuba, Matthew T. Carroll, Christopher L. Farkas, Joshua D. Olusanya, Segun Baker, Kylie Gajic, Ognjen ATS Sch Perspectives Evidence-based medicine asks us to integrate the best available evidence with clinical experience and patient values. In the modern intensive care unit, the primary focus is on complex technology and electronic health records, often away from the bedside. Excess interventionism is the norm. The term “intensivist” itself implies an intensive management strategy, which can lead us away from a patient-centered practice and toward iatrogenic harm. Under the hashtag #zentensivist, an international, multiprofessional group of clinicians has begun to discuss via Twitter how to apply key principles of history taking, physical examination, physiology, pharmacology, and clinical research in a competent, compassionate, and minimalist fashion. The term “zentensivist” intentionally combines concepts seemingly at odds—Zen philosophy and intensive care—to describe a holistic approach to the art of caring for the critically ill. We describe the key tenets of zentensivist practice and how we may inspire these actions in those we lead and educate. American Thoracic Society 2020-07-14 /pmc/articles/PMC8043314/ /pubmed/33870290 http://dx.doi.org/10.34197/ats-scholar.2020-0019PS Text en Copyright © 2020 by the American Thoracic Society https://creativecommons.org/licenses/by-nc-nd/4.0/This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/). For commercial usage and reprints, please contact Diane Gern (dgern@thoracic.org). |
spellingShingle | Perspectives Siuba, Matthew T. Carroll, Christopher L. Farkas, Joshua D. Olusanya, Segun Baker, Kylie Gajic, Ognjen The Zentensivist Manifesto. Defining the Art of Critical Care |
title | The Zentensivist Manifesto. Defining the Art of Critical Care |
title_full | The Zentensivist Manifesto. Defining the Art of Critical Care |
title_fullStr | The Zentensivist Manifesto. Defining the Art of Critical Care |
title_full_unstemmed | The Zentensivist Manifesto. Defining the Art of Critical Care |
title_short | The Zentensivist Manifesto. Defining the Art of Critical Care |
title_sort | zentensivist manifesto. defining the art of critical care |
topic | Perspectives |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043314/ https://www.ncbi.nlm.nih.gov/pubmed/33870290 http://dx.doi.org/10.34197/ats-scholar.2020-0019PS |
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