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Care of the critically ill pregnant patient poses unique challenges. The normal physiology of a pregnant patient differs considerably from that of a non-pregnant patient and these differences may affect many aspects of routine care: resuscitation, mechanical ventilation, choice of drugs and use of diagnostic studies are some examples.
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Stopping Aspirin Before Surgery; The Sponge Returns; Preventing Metabolic Syndrome; FDA Actions
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In the absence of definitive systematic reviews, and in the presence of evidence for continued widespread administration of low-dose dopamine infusions to critically ill patients for the purpose of preventing renal failure, Friedrich and colleagues performed an exhaustive review of the literature on this subject.
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The purpose of this study was to measure light levels in patient rooms, and also to determine if there were any relationships between greater light levels and mortality, length of stay, ventilator-free days, and amount of medication.
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Coquin and colleagues evaluated the accuracy of noninvasive total hemoglobin measurement using a widely marketed pulse oximeter in patients admitted to the ICU with acute gastrointestinal (GI) hemorrhage.
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This blinded, randomized, multicenter trial compared the colloid solution low-molecular-weight hydroxyethyl starch (HES 130/0.42) with the crystalloid solution Ringer's acetate for the treatment of severe sepsis.
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In this issue: Side effects of finasteride; new ruling on pharmaceutical companies paying generic manufacturers; and FDA actions.
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Using a statewide administrative database and other sources, Gershengorn and colleagues examined data on all adult patients with a primary diagnosis of diabetic ketoacidosis (DKA) who were admitted to hospitals in the state of New York from 2005-2007.