Revista médica de Chile
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Revista médica de Chile · Feb 2017
Randomized Controlled Trial[Effectiveness of a structured educative program in Chilean diabetic patients].
Structured educative programs have demonstrated their usefulness as a strategy to improve metabolic control in diabetic patients. ⋯ A structured educative program resulted in a 35% greater reduction in glycosylated hemoglobin levels, compared with a control group. Metabolic control improvement differed between the educators who carried out the program.
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Revista médica de Chile · Apr 2013
Randomized Controlled Trial Comparative StudyComparison of propofol-based sedation regimens administered during colonoscopy.
The ideal sedative agent for endoscopic procedures should allow a rapid modification of the sedation level and should not have any adverse effects. ⋯ Sedation for endoscopy can be safely and effectively accomplished with low doses of propofol combined with dexmedetomidine, intranasal sufentanil, IV meperidine and IV meperidine with midazolam.
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Revista médica de Chile · Nov 2011
Randomized Controlled Trial[Prospective assessment of medication errors in critically ill patients in a university hospital].
Critically ill patients are especially vulnerable to medication errors (ME) due to their severe clinical situation and the complexities of their management. ⋯ We found a 34% rate of ME per drug prescribed, which is in concordance with international reports. The identification of those steps more prone to ME in the ICU, will allow the implementation of an intervention program to improve the quality and security of medication management.
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Revista médica de Chile · Sep 2011
Randomized Controlled Trial[Transesophageal echocardiography to monitor fluid administration during the perioperative period].
During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements. ⋯ The use of transesophageal echocardiography significantly reduced the perioperative fluid administration.
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Revista médica de Chile · Jun 2011
Randomized Controlled Trial[Effects on blood glucose of prophylactic dexamethasone for postoperative nausea and vomiting in diabetics and non-diabetics].
Postoperative nausea and vomiting (PONV) prophylaxis with dexamethasone may produce significant hyperglycemia in the postoperative period. ⋯ In this study, Type 2 diabetic patients did not show a higher susceptibility than non-diabetics to develop postoperative hyperglycemia after the use of prophylactic dexamethasone for PONV.