Intensive care update: seven studies that should change your practice.
Seven recent studies in intensive care found that: *The need for intravenous sedation should continually be reassessed * Low-dose dopamine does not offer significant renal protection * Higher doses of continuous venovenous hemofiltration may improve survival * Subclavian central venous catheterization is associated with fewer complications than the femoral route * We have little evidence to support the use of ranitidine and sucralfate as prophylaxis for stress ulcers * Many young patients with suspected bacterial meningitis can undergo lumbar puncture without a CT scan if they have no abnormalities on a quick history and physical examination * Intensive insulin therapy to control blood glucose lowers the mortality rate.
Arroliga
Alejandro C
AC
Section of Critical Care Medicine, The Cleveland Clinic Foundation, OH 44195, USA. arrolia@ccf.org
D002986:Clinical Trials as Topic; D003422:Critical Care / Q000592:standards* / Q000639:trends; D019317:Evidence-Based Medicine; D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D010818:Practice Patterns, Physicians'; D011787:Quality of Health Care; D014481:United States