Does provision of balanced nutrition protect against hypoglycemia in the critically ill surgical patient?
Balanced nutrition is associated with reduced risk of hypoglycemia. These results suggest that balanced nutrition should be given when insulin therapy is initiated. Future studies should evaluate the efficacy of EN vs PN in preventing hypoglycemia.
In patients undergoing upper abdominal surgery, a single epidural injection of 60 mg of ketamine administered preoperatively was not associated with decreased postoperative analgesic demands. This findings does not contribute to one of the fundamental scientific objectives of preemptive analgesia that postoperative analgesia well beyond the duration of any single drug effect could be produced.