Skip to main content

The Future

  • Chapter
  • First Online:
Cardiopulmonary Monitoring

Abstract

If we could determine the future, life would be easy. We could not only look forward to great new tools and treatments, but with a common goodwill we could fix coming problems. But even if we had such insight, through our actions the future would be altered from what was predicted and, paradoxically, we would fail to predict it! All we can do is speculate based on where we are now, both good and bad, and how we expect things to evolve. In this final chapter, we deal with some potential examples of coming changes in technologies and delivery of care. We recommend caution when dealing with new technologies. As we have experienced repeatedly in the past, innovations that at first seem essential for modern management often turn out to create new problems We finish with what should only be considered as a speculative playful list of our predictions for the future.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Abraham E, Wunderink R, Silverman H, Perl TM, Nasraway S, Levy H, et al. Efficacy and safety of monoclonal antibody to human tumor necrosis factor alpha in patients with sepsis syndrome. A randomized, controlled, double-blind, multicenter clinical trial. TNF-alpha MAb Sepsis study group. J Am Med Assoc. 1995;273(12):934–41.

    Article  CAS  Google Scholar 

  • Abraham E, Glauser MP, Butler T, Garbino J, Gelmont D, Laterre PF, et al. p55 tumor necrosis factor receptor fusion protein in the treatment of patients with severe sepsis and septic shock. A randomized controlled multicenter trial. Ro 45-2081 study group. JAMA. 1997;277(19):1531–8.

    Article  CAS  Google Scholar 

  • Boyd O, Grounds RM, Bennett ED. A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients. J Am Med Assoc. 1993;270(22):2699–707.

    Article  CAS  Google Scholar 

  • Browner WS, Newman TB. Are all significant P values created equal? The analogy between diagnostic tests and clinical research. JAMA. 1987;257(18):2459–63.

    Article  CAS  Google Scholar 

  • Burke E. Edmun Burke quotes quote-coyote.com. (Available from: https://www.quote-coyote.com/quotes/authors/b/edmund-burke/).

  • Cameron JI, Chu LM, Matte A, Tomlinson G, Chan L, Thomas C, et al. One-year outcomes in caregivers of critically ill patients. N Engl J Med. 2016;374(19):1831–41.

    Article  CAS  Google Scholar 

  • Cross AS. Antiendotoxin antibodies: a dead end? Ann Intern Med. 1994;121(1):58–60.

    Article  CAS  Google Scholar 

  • Danziger J. Ángel Armengol de la Hoz M, li W, Komorowski M, Deliberato RO, rush BNM, et al. temporal trends in critical care outcomes in U.S. minority-serving hospitals. Am J Respir Crit Care Med. 2020;201(6):681–7.

    Article  Google Scholar 

  • Gavard J. Endothelial permeability and VE-cadherin. Cell Adhes Migr. 2014;8(2):158–64.

    Article  Google Scholar 

  • Goronzy JJ, Weyand CM. Understanding immunosenescence to improve responses to vaccines. Nat Immunol. 2013;14(5):428–36.

    Article  CAS  Google Scholar 

  • Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, et al. Guidelines for perioperative Care in Elective Colorectal Surgery: enhanced recovery after surgery (ERAS(®)) society recommendations: 2018. World J Surg. 2019;43(3):659–95.

    Article  CAS  Google Scholar 

  • Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med. 2003;348(8):683–93.

    Article  Google Scholar 

  • Herridge MS, Tansey CM, Matté A, Tomlinson G, Diaz-Granados N, Cooper A, et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med. 2011;364(14):1293–304.

    Article  CAS  Google Scholar 

  • Knaus WA, Marks RD. New phenotypes for Sepsis: the promise and problem of applying machine learning and artificial intelligence in clinical research. JAMA. 2019;321(20):1981–2.

    Article  Google Scholar 

  • Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292–8.

    Article  Google Scholar 

  • Lopez A, Lorente JA, Steingrub J, Bakker J, McLuckie A, Willatts S, et al. Multiple-center, randomized, placebo-controlled, double-blind study of the nitric oxide synthase inhibitor 546C88: effect on survival in patients with septic shock. Crit Care Med. 2004;32(1):21–30.

    Article  CAS  Google Scholar 

  • McCloskey RV, Straube RC, Sanders C, Smith SM, Smith CR. Treatment of septic shock with human monoclonal antibody HA-1A. A randomized, double-blind, placebo-controlled trial. CHESS trial study group. Ann Intern Med. 1994;121(1):1–5.

    Article  CAS  Google Scholar 

  • Pearse RM, Harrison DA, MacDonald N, Gillies MA, Blunt M, Ackland G, et al. Effect of a perioperative, cardiac output-guided hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review. JAMA. 2014;311(21):2181–90.

    Article  CAS  Google Scholar 

  • Postman N. Technopoloy: the surrender of culture to technology. New York: Vintage books; 1992.

    Google Scholar 

  • Rautanen A, Mills TC, Gordon AC, Hutton P, Steffens M, Nuamah R, et al. Genome-wide association study of survival from sepsis due to pneumonia: an observational cohort study. Lancet Respir Med. 2015;3(1):53–60.

    Article  CAS  Google Scholar 

  • Seymour CW, Kennedy JN, Wang S, Chang C-CH, Elliott CF, Xu Z, et al. Derivation, validation, and potential treatment implications of novel clinical phenotypes for Sepsis. JAMA. 2019a;321(20):2003–17.

    Article  CAS  Google Scholar 

  • Seymour CW, Kennedy JN, Wang S, Chang CH, Elliott CF, Xu Z, et al. Derivation, validation, and potential treatment implications of novel clinical phenotypes for Sepsis. JAMA. 2019b;321(20):2003–17.

    Article  CAS  Google Scholar 

  • Weyand CM, Goronzy JJ. Aging of the immune system. mechanisms and therapeutic targets. Ann Am Thorac Soc. 2016;13(Suppl 5):S422–s8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sheldon Magder .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Magder, S., Hardin, C.C., Hibbert, K.A., Malhotra, A. (2021). The Future. In: Magder, S., Malhotra, A., Hibbert, K.A., Hardin, C.C. (eds) Cardiopulmonary Monitoring. Springer, Cham. https://doi.org/10.1007/978-3-030-73387-2_59

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-73387-2_59

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-73386-5

  • Online ISBN: 978-3-030-73387-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics