I think even on a small scale, or perhaps that should be especially on a small scale, people could profitably look at the mysql/nosql/memcached (the latter optionally with persistence via flash) from some of the appliance vendors.
I have no financial interest or direct experience, but the data sheet on this:
http://www.schoonerinfotech.com/datasheets/Schooner_DS_Memca...
looks worthy of a closer read.