Intensive care medicine
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Intensive care medicine · Nov 2008
Review Meta AnalysisImmunonutrition in critically ill patients: a systematic review and analysis of the literature.
The role of immuno-modulating diets (IMDs) in critically ill patients is controversial. ⋯ An IMD supplemented with FO improved the outcome of medical ICU patients (with SIRS/sepsis/ARDS). IMDs supplemented with arginine with/without additional glutamine or FO do not appear to offer an advantage over standard enteral formulas in ICU, trauma and burn patients.
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Intensive care medicine · Nov 2008
Meta AnalysisThe use of propofol for medium and long-term sedation in critically ill adult patients: a meta-analysis.
To investigate the effects of using propofol for medium and long-term sedation on mortality and length of intensive care unit (ICU) stay of critically ill adult patients. ⋯ Using propofol for prolonged sedation in critically ill patients appears to be safe and may reduce duration of mechanical ventilation. It reduces the length of ICU stay when compared to long acting benzodiazepines, but not when compared to midazolam.