A5029257505- Hemodynamic Monitoring and Therapy
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Non-Invasive Vital Sign Monitoring
- Cardiac, Anesthesia and Surgical Outcomes
- Heart Rate Variability and Autonomic Control
- Bariatric Surgery and Outcomes
- Frailty in Older Adults
- Pancreatic and Hepatic Oncology Research
- Enhanced Recovery After Surgery
- Metabolism, Diabetes, and Cancer
- Clinical Nutrition and Gastroenterology
- Child Nutrition and Water Access
- Anesthesia and Pain Management
- Hip and Femur Fractures
- Nutrition and Health in Aging
University Hospital of Bern
2022-2024
University of Bern
2022-2024
OBJECTIVE Continuous glucose monitoring (CGM) may be challenged by extreme conditions during cardiac surgery using hypothermic extracorporeal circulation (ECC). RESEARCH DESIGN AND METHODS We evaluated the Dexcom G6 sensor in 16 subjects undergoing with ECC, of whom 11 received deep circulatory arrest (DHCA). Arterial blood glucose, quantified Accu-Chek Inform II meter, served as reference. RESULTS Intrasurgery mean absolute relative difference (MARD) 256 paired CGM/reference values was...
Introduction The global volume of surgery is growing and the population ageing, economic pressure rising. Major associated with relevant morbidity mortality. Postoperative reduction in physiological functional capacity especially marked elderly, multimorbid patient low fitness level, sarcopenia malnutrition. Interventions aiming to optimise prior (prehabilitation) may reduce postoperative complications consequently health costs. Methods analysis This a multicentre, multidisciplinary,...
Objective: To assess the efficacy and safety of fully closed-loop (FCL) compared with usual care (UC) glucose control in patients experiencing major abdominal surgery-related stress hyperglycaemia. Summary Background Data: Major periprocedural interventions predispose to perioperative hyperglycaemia, both diabetes non-diabetes patients. Insulin corrects hyperglycaemia effectively, but its safe use remains challenging. Methods: In this two-centre randomised controlled trial, we contrasted...
The central role of pancreas in glucose regulation imposes high demands on perioperative management patients undergoing pancreatic surgery. In a post hoc subgroup analysis randomized controlled trial, we evaluated the use subcutaneous (SC) fully closed-loop (FCL; CamAPS HX) versus usual care (UC) insulin therapy partial or total resection. Glucose control was compared using continuous monitoring (CGM) metrics (% time with CGM values between 5.6 and 10.0 mmol/L more). Over hospitalization,...
Introduction: Major abdominal surgery predisposes to hyperglycemia due metabolic stress, inflammation, perioperative nutrition support and medication. The aim of the study was assess efficacy fully closed-loop (FCL) versus usual care (UC) insulin delivery for glycemic management in major patients. Methods: In this randomized controlled trial (NCT05392452) we compared use CamAPS HX FCL system (Dexcom G6, YspoPump, SC faster aspart) with UC treatment from admission until hospital discharge...
<p> </p> <p><em>Background</em></p> <p>Continuous glucose monitoring (CGM) may be challenged by extreme conditions during cardiac surgery using hypothermic extracorporeal circulation (ECC).</p> <p><em>Research Design and Methods</em></p> <p>We evaluated the Dexcom G6 sensor in 16 subjects undergoing with ECC, of whom 11 received deep circulatory arrest (DHCA). Arterial blood glucose, quantified Accu-Chek Inform II...
<p> </p> <p><em>Background</em></p> <p>Continuous glucose monitoring (CGM) may be challenged by extreme conditions during cardiac surgery using hypothermic extracorporeal circulation (ECC).</p> <p><em>Research Design and Methods</em></p> <p>We evaluated the Dexcom G6 sensor in 16 subjects undergoing with ECC, of whom 11 received deep circulatory arrest (DHCA). Arterial blood glucose, quantified Accu-Chek Inform II...