• Cleve Clin J Med · Jun 2002

    Intensive care update: seven studies that should change your practice.

    • Alejandro C Arroliga.
    • Section of Critical Care Medicine, The Cleveland Clinic Foundation, OH 44195, USA. arrolia@ccf.org
    • Cleve Clin J Med. 2002 Jun 1;69(6):505-9.

    AbstractSeven 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.

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