The findings suggest that a glutamine-enriched polymeric diet offers no advantage over a standard low-glutamine polymeric diet in the treatment of active Crohn's disease. Rather, it appears to be less effective in improving PCDAI. The reported beneficial effects of glutamine seen in many catabolic states must be viewed with caution when extrapolating to the management of Crohn's disease.
This article, written by a third year diploma student in operating department practice, examines the literature relating to the safe use of cricoid pressure. To ensure that the patient is adequately protected from acid aspiration syndrome, the anaesthetic practitioner should be aware of the dangers of faulty technique when utilising Sellick's manoeuvre.
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