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Proceedings Paper

Wireless connection of continuous glucose monitoring system to the electronic patient record
Author(s): Alexandre Murakami; Marco Antonio Gutierrez; Silvia G Lage; Marina S. Rebelo; Luiz A. R. Granja; Jose A. F. Ramires
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Paper Abstract

The control of blood sugar level (BSL) at near-normal levels has been documented to reduce both acute and chronic complications of diabetes mellitus. Recent studies suggested, the reduction of mortality in a surgical intensive care unit (ICU), when the BSL are maintained at normal levels. Despite of the benefits appointed by these and others clinical studies, the strict BSL control in critically ill patients suffers from some difficulties: a) medical staff need to measure and control the patient’s BSL using blood sample at least every hour. This is a complex and time consuming task; b) the inaccuracy of standard capillary glucose monitoring (fingerstick) in hypotensive patients and, if frequently used to sample arterial or venous blood, may lead to excess phlebotomy; c) there is no validated procedure for continuously monitoring of BSL levels. This study used the MiniMed CGMS in ill patients at ICU to send, in real-time, BSL values to a Web-Based Electronic Patient Record. The BSL values are parsed and delivered through a wireless network as an HL7 message. The HL7 messages with BSL values are collected, stored into the Electronic Patient Record and presented into a bed-side monitor at the ICU together with other relevant patient information.

Paper Details

Date Published: 15 April 2005
PDF: 8 pages
Proc. SPIE 5748, Medical Imaging 2005: PACS and Imaging Informatics, (15 April 2005); doi: 10.1117/12.595838
Show Author Affiliations
Alexandre Murakami, Heart Institute, Univ. of Sao Paulo (Brazil)
Univ. of Sao Paulo (Brazil)
Marco Antonio Gutierrez, Heart Institute, Univ. of Sao Paulo (Brazil)
Univ. of Sao Paulo (Brazil)
Silvia G Lage, Heart Institute, Univ. of Sao Paulo (Brazil)
Marina S. Rebelo, Heart Institute, Univ. of Sao Paulo (Brazil)
Luiz A. R. Granja, Heart Institute, Univ. of Sao Paulo (Brazil)
Jose A. F. Ramires, Heart Institute, Univ. of Sao Paulo (Brazil)


Published in SPIE Proceedings Vol. 5748:
Medical Imaging 2005: PACS and Imaging Informatics
Osman M. Ratib; Steven C. Horii, Editor(s)

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