Health care has become increasingly expensive and clinicians have come
under increased scrutiny to critically appraise the economic impact o
f medical programs and interventions. To ensure an equitable allocatio
n of scarce resources and the attainment of maximal clinical benefit,
it is vital to adhere to certain basic tenets of economic analysis and
to understand the basic approach to cost-effectiveness analysis. Thes
e principles are applied to critical care medicine and analogies are m
ade to the methodological rigor of evidence-based medicine.