title: Myths, misunderstandings, and dogma in respiratory care.
abstract: Evidence-based medicine has assumed a major place in establishing the standard of care for many diseases. Yet practices based largely on clinical experience have often been difficult to change, even when clearly associated with patient harm. In this paper, based on the 27th Philip Kittredge  Memorial Lecture, we highlight respiratory care practices that have clearly failed the tests of time and evidence yet sometimes tenaciously persist. We also discuss the appropriate use and potential abuse of evidence-based medicine.
authors.affiliation: Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA 23298, USA. brubin@vcu.edu
authors.forename: Bruce K
authors.initials: BK
authors.lastname: Rubin
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Haynes
mesh_terms: D019317:Evidence-Based Medicine; D006801:Humans; D012129:Respiratory Function Tests; D012140:Respiratory Tract Diseases / Q000628:therapy*