title: The willingness for a change.
abstract: Routine and protocols in our daily practice provide us safety and standardization. However the current knowledge is changing fast and protocols are there to be challenged. This article aims to outline the fine line between skepticism and "constant unbiased interpretation" of the new coming guidelines; the article also suggests a critical eye in data interpretation of the constantly changing technology and its implementation. Finally, by giving examples of the "swing" of the current practice we aim to stimulate awareness.
authors.forename: Haralabos
authors.initials: H
authors.lastname: Parissis
authors.forename: Urszula
authors.initials: U
authors.lastname: Simonouk
authors.forename: Bassel
authors.initials: B
authors.lastname: Al-Alao
mesh_terms: D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures / Q000639:trends*; D003657:Decision Making; D004059:Diffusion of Innovation; D006350:Heart Valve Prosthesis; D006801:Humans; D017410:Practice Guidelines as Topic