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Articles and journal scans about Glucose
Article
October 2011
L-lactate and D-lactate - clinical significance of the difference
Modern blood gas analyzers often have incorporated sensor technology that allows measurement of plasma lactate concentration. In nature lactate exists in two isoforms: L-lactate and D-lactate.
In all vertebrates, including humans, the L-lactate form is by far the most abundant and pathophysiologically significant,...
Blood gases/acid-base
Glucose
Lactate
Kidneys/fluids
Article
July 2011
How to manage sepsis in the Emergency Department leading to a decreased mortality in ICU - the Critical Care Cascade
Patients with sepsis, severe sepsis and/or septic shock are at increased risk of death and organ dysfunction.
While morbidity and mortality of patients with severe traumatic injury, acute myocardial infarction or stroke have been significantly reduced during recent years by the implementation of well-coordinated...
Infection/sepsis
Glucose
Point-of-care testing
Lactate
Hemoglobins
Article
April 2011
Optimizing accuracy and precision for point-of-care tests
Point-of-care testing sites continue to increase in number due to the availability of easy-to-use devices that make it possible to provide test results very quickly relative to the central laboratory services. There is, however, mixed review regarding the accuracy and reliability of POCT results for patient care. It...
Point-of-care testing
Preanalytical phase
Quality assurance
Glucose
Hemoglobins
Lactate
Troponins
Article
January 2011
Critical values in laboratory medicine
The process of patient sample testing, whether performed in the clinical laboratory or at the point of care, is the sum of three distinct phases. The first is the preanalytical phase, which includes test selection as well as sample collection and handling.
The second is the analytical or measuring phase that...
Bilirubin
Electrolytes
Point-of-care testing
Blood gases/acid-base
Glucose
Lactate
Creatinine/urea
Hemoglobins
Kidneys/fluids
Article
January 2011
Moving the Laboratory into the Wards
As healthcare seeks to provide better care with fewer resources, Point-of-Care Testing steps in to move key diagnostic or screening tests to the patient’s bedside. The results can have a significant impact on a patient outcome and operational costs.
Blood gases/acid-base
Process optimization
Glucose
Hemoglobins
Creatinine/urea
Natriuretic peptide
Article
October 2010
Creatinine measurement in the radiology department 2
Clinical laboratory measurement of serum/plasma creatinine concentration has been used to assess patient kidney function for well over 50 years.
With the incorporation of creatinine analyses to blood gas and other point-of-care platforms the test is now available outside the laboratory, at the bedside and in the...
Point-of-care testing
Glucose
Creatinine/urea
Journal Scan
July 2010
Hypoglycemia in the critically ill
Raised blood glucose (hyperglycemia) is a common feature of critical illness, irrespective of diabetes status. A landmark Belgian study conducted in 2001 demonstrated that this hyperglycemia is associated with increased morbidity and mortality. As a result of that study maintenance of normal blood glucose, with...
Glucose
Article
July 2010
FAQ concerning the acid-base status of the blood
Some of the frequently asked questions are: Should we use BE (base excess) or SID (strong ion difference) as a measure of a metabolic acid-base disturbance? Is there any difference between BB (buffer base) and SID? Should we use SBE (standard base excess), i.e. BE referring to the expanded extracellular fluid or...
Blood gases/acid-base
Point-of-care testing
Glucose
Lactate
Creatinine/urea
Hemoglobins
Journal Scan
April 2010
Nurse-led intensive insulin therapy is safe and effective
Transitory increase in blood glucose concentration (hyperglycemia) is a very common feature of critical illness and severe trauma. Despite its transitory nature this hyperglycemia is associated with adverse effect and there is a consensus that critically ill patients, irrespective of their diabetic status, benefit...
Glucose
Article
April 2010
Hyperglycemic control in the ICU
Tight glycemic control (TGC) in the intensive care unit is essential to comprehensive clinical management.
However, TGC that is too aggressive in the wrong patient populations (particularly non-diabetics) can result in hypoglycemia, which brings with it a set of sequelae that can increase morbidity and mortality....
Glucose
Point-of-care testing