Articles: monitoring.
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Minerva anestesiologica · Nov 2012
Review Meta AnalysisLung ultrasound in the ICU: from diagnostic instrument to respiratory monitoring tool.
Imaging has greatly contributed to the understanding of lung disease in the critically ill and currently serves as a tool to diagnose lung pathology, monitor its course, and guide clinical management. Lung ultrasound is a real-time imaging modality that is simple, non-invasive, potentially ubiquitous, and free of ionizing radiation. ⋯ While the utility of lung ultrasound in the emergency setting is unquestioned, its potential role in the more complex and resource-rich intensive care environment is still under investigation. The purpose of this paper was to describe current and potential uses of lung ultrasound in the specific setting of adult intensive care, with an emphasis on respiratory monitoring, and to provide a framework for the practical application of this tool at the bedside.
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Review Meta Analysis
Comparative effectiveness and safety of methods of insulin delivery and glucose monitoring for diabetes mellitus: a systematic review and meta-analysis.
Patients with diabetes mellitus need information about the effectiveness of innovations in insulin delivery and glucose monitoring. ⋯ Agency for Healthcare Research and Quality.
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Meta Analysis
Can immune cell function assay identify patients at risk of infection or rejection? A meta-analysis.
The Cylex ImmuKnow cell function assay (CICFA) is being considered as a possible tool for identification of infection and rejection in transplant recipients. However, the predictive capability of CICFA is still unclear. ⋯ The current evidence suggests that CICFA is not able to identify individuals at risk of infection or rejection. Additional studies are still needed to clarify the usefulness of this test for identifying risks of infection and rejection in transplant recipients.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Apr 2012
Review Meta Analysis[Effect of intensive glucose control during peri-operative period on prognosis of patients undergoing cardiac surgery: a Meta-analysis].
To systematically review the literature to determine the effects of intensive versus normal glycaemic control during peri-operative period on prognosis of patients undergoing cardiac surgery. ⋯ Intensive blood glucose control during peri-operative period could improve the prognosis of patients undergoing cardiac surgery.
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Cochrane Db Syst Rev · Jan 2012
Review Meta Analysis Comparative StudyContinuous glucose monitoring systems for type 1 diabetes mellitus.
Self-monitoring of blood glucose is essential to optimise glycaemic control in type 1 diabetes mellitus. Continuous glucose monitoring (CGM) systems measure interstitial fluid glucose levels to provide semi-continuous information about glucose levels, which identifies fluctuations that would not have been identified with conventional self-monitoring. Two types of CGM systems can be defined: retrospective systems and real-time systems. Real-time systems continuously provide the actual glucose concentration on a display. Currently, the use of CGM is not common practice and its reimbursement status is a point of debate in many countries. ⋯ There is limited evidence for the effectiveness of real-time continuous glucose monitoring (CGM) use in children, adults and patients with poorly controlled diabetes. The largest improvements in glycaemic control were seen for sensor-augmented insulin pump therapy in patients with poorly controlled diabetes who had not used an insulin pump before. The risk of severe hypoglycaemia or ketoacidosis was not significantly increased for CGM users, but as these events occurred infrequent these results have to be interpreted cautiously.There are indications that higher compliance of wearing the CGM device improves glycosylated haemoglobin A1c level (HbA1c) to a larger extent.