Blood glucose response to rescue dextrose in hypoglycemic, critically ill patients receiving an insulin infusion.

Background: There is inadequate guidance for clinicians on selection of the optimal dextrose 50% (D50W) dose for hypoglycemia correction in critically ill patients.

Objective: The purpose of this study was to determine the blood glucose (BG) response to D50W in critically ill patients.

Methods: A retrospective analysis was conducted of critically ill patients who received D50W for hypoglycemia (BG < 70 mg/dL) while on an insulin infusion.

Aortic aneurysm repair with a functioning renal transplant: therapeutic options.

Background: Aortic aneurysm repair in the presence of a functioning renal transplant carries significant risks of renal ischaemia. We describe the management of patients undergoing this treatment by using a temporary, externally sited axillofemoral bypass and discuss other treatment options.

Methods: Three patients underwent a temporary, externally sited axillary artery to common femoral artery bypass.