Escalation of therapy without evidence: a "may" does not imply a "should"!

Affiliations

• ¹ Department of Anesthesiology and Intensive Care Medicine, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany. heringlake@t-online.de.
• ² Department of Anesthesiology and Intensive Care Medicine, St. Georg Hospital, Lohmühlenstr. 5, 20099, Hamburg, Germany.
• ³ Department of Cardiology, Angiology, and Medical Intensive Care Medicine, St. Marien Hospital, Kampenstr. 51, 57072, Siegen, Germany.
• ⁴ Department of Anesthesiology, University Hospital Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
• ⁵ Department of Cardiology, Catholic "St. Johann Nepomuk" Hospital, Haarbergstrasse 72, 99097, Erfurt, Germany.
• ⁶ Department of Anesthesiology and Intensive Care, Saarland University Medical Center, Kirrberger Straße, 66424, Homburg, Germany.
• ⁷ Department of Cardiovascular Surgery, German Armed Forces Central Hospital, Rübenacher Str. 170, 56072, Koblenz, Germany.
• ⁸ Division of Emergency Medicine, Department of Cardiology, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
• ⁹ Department of Cardiac and Thoracic Vascular Surgery, University Hospital Gießen and Marburg, Campus Marburg, Baldingerstrasse, 35043, Marburg, Germany.
• ¹⁰ Department of Intensive Care Medicine, Imland Hospital Rendsburg, Lilienstraße 20-28, 24768, Rendsburg, Germany.
• ¹¹ Department of Anesthesiology, University Hospital Hamburg Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
• ¹² Department of Anesthesiology and Intensive Care Medicine, University Hospital Gießen and Marburg, Campus Gießen, Rudolf-Buchheim Str. 7, 35392, Giessen, Germany.
• ¹³ Department of Cardiac and Thoracic Surgery, Heart Center Saar, Richardstr. 5-9, 66333, Völklingen, Germany.
• ¹⁴ Department of Cardiovascular and Vascular Surgery, Heart Center University Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
• ¹⁵ Department of Anesthesiology and Intensive Care, Charité University Hospital, Charité Campus Mitte and Virchow Klinikum, Charité-Platz 1, 10117, Berlin, Germany.
• ¹⁶ Department of Intensive Care Medicine, Inselspital, University Hospital Bern, Murtenstrasse 10, 3010, Bern, Switzerland.
• ¹⁷ Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.