What question did this study set out to answer?

To argue for the importance of physiological reasoning in intensive care practices and its effect on outcomes.

May 27, 2026Critical Care Science0 citations

To: Foundational principles for young intensivists to drive better outcomes: the bedside application of physiology

Key Points

To argue for the importance of physiological reasoning in intensive care practices and its effect on outcomes.
Review of existing literature on physiological reasoning in intensive care
Analysis of current practices in the ICU
Discussion of the implications of deviating from rigid protocols
Emphasizes the need for a shift towards physiological reasoning in treatment decisions
Highlights the potential benefits of personalized care in the ICU
Calls for young intensivists to adopt flexible approaches for better patient outcomes

Abstract

DEAR EDITOR, Rocco et al. cogently argue that a renewed focus on physiological reasoning is essential to advancing intensive care medicine and moving beyond rigid, protocol-driven practice.(1) I agree with their central message but wish to extend it by highlighting an apparent paradox: almost everything we do in the intensive care unit (ICU) is, by …

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