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Editorials |

Transfusion in Critical Care: Where Do We Go From Here?

Andrew F. Shorr, MD, MPH, FCCP; Howard L. Corwin, MD, FCCP
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Affiliations: Washington, DC ,  Lebanon, NH ,  Dr. Shorr is Associate Director of Pulmonary and Critical Care Medicine, Washington Hospital Center, and Associate Professor of Medicine, Georgetown University. Dr. Corwin is Section Chief, Critical Care Medicine, Dartmouth Hitchcock Medical Center, and Professor of Medicine and Anesthesia, Dartmouth Medical School.

Correspondence to: Andrew F. Shorr, MD, MPH, Room 2A-38D, Washington Hospital Center, 110 Irving St, NW, Washington, DC 20010, Phone: 202-877-7856, Fax: 202-291-0386, Email: afshorr@dnamail.com



Chest. 2007;132(4):1105-1106. doi:10.1378/chest.07-1059
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The last 2 decades have seen a profound shift in practice in critical care. Multiple well-conducted studies14 on topics ranging from ARDS to resuscitation to sedation have been successfully executed. These trials have questioned many of the interventions we “routinely” employ in the ICU. In fact, in several cases, these studies have suggested a new paradigm: “less is more.” As such, we have learned that less sedation, less mechanical ventilation, and less antibiotic is likely the preferred approach.14

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