Fingerstick glucose testing does not accurately represent venous glucose levels in severely hypotensive patients. If fingerstick glucose testing is relied on for these patients, errors in clinical management may be made. Venous reagent strip glucose testing correlates well with laboratory glucose measurements and should be the preferred method for rapid assessment of glucose level in critically ill patients with severe hypotension.

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The probability of requiring blood products for cholecystectomy, hernia repair, and appendectomy is low. The authors, therefore, suggest the elimination of routine typing and screening before these procedures.

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