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Articles and journal scans about Preanalytical phase
Article
January 2006
Neonatology - Get in control of fetal scalp blood sampling
Interview
Fetal scalp Blood Sampling (FBS) – not exactly wishful thinking for the mother, nor for the obstetrician? The procedure is regarded as cumbersome, the sample quality is questionable and the consequences of the result may be instrumental vaginal delivery or Cesarian Section (CS).
acutecaretesting.org has...
Preanalytical phase
Blood gases/acid-base
Neonatology
Lactate
Article
October 2005
Preanalytical issues related to blood sample mixing
Lack of homogeneity of a blood sample can lead to incorrect results. In this paper, the quality requirements of a sample prior to mixing, the type of samples, sample collection devices and tools and mechanics of mixing will be highlighted.
Issues related to the mixing of samples intended for hematological and blood...
Preanalytical phase
Hemoglobins
Article
October 2005
Reducing phlebotomy blood loss in the NICU
Iatrogenic phlebotomy loss resulting
from the intensive clinical monitoring in the weeks
immediately following birth remains the primary
cause of neonatal anemia and the need for
red-blood-cell (RBC) transfusion.
Reducing RBC
transfusion needs in the neonatal intensive care
unit (NICU) requires new approaches for...
Neonatology
Preanalytical phase
Glucose
Lactate
Hemoglobins
Article
July 2005
Hemoglobin and its measurement
Methods for the measurement of hemoglobin (Hb) were first
developed well over a century ago, so that hemoglobin was among the
first diagnostic blood tests available to clinicians during the
first decades of the 20th century when laboratory medicine was in
its infancy.
Today it is the most frequently requested blood...
Preanalytical phase
Article
July 2005
Neonatal capillary blood sampling
Capillary blood sampling via a heel lance is the most common procedure performed in hospitalized neonates. Adequate training and supervision of the personnel performing the procedure is necessary to prevent/minimize inadequate sampling volumes, false laboratory results and complications such as pain. Efforts should be ...
Preanalytical phase
Neonatology
Glucose
Lactate
Journal Scan
July 2005
Benign anesthetists
We are all wary to a greater or lesser extent of the doctor
advancing with needle and syringe. Arterial puncture required for
blood gas analysis is a particularly painful procedure, certainly
more painful than venipuncture.
Many studies have demonstrated that
administration of local anesthesia is effective in...
Blood gases/acid-base
Preanalytical phase
Article
July 2005
Capillary blood gas and the big picture
Blood gases are measured from an arterial blood sample to evaluate the respiratory adequacy and oxygen status of the critically ill patient. For the adult patient, the arterial blood is sampled either by arterial puncture or from an indwelling catheter.
In neonates and children, the wish to minimize iatrogenic blood...
Neonatology
Blood gases/acid-base
Preanalytical phase
Glucose
Lactate
Article
June 2005
Reducing sharps injury risk in intensive care
Five years of data on percutaneous injuries (PIs) from the EPINet multi-hospital sharps injury database at the University of Virginia were analyzed to understand exposure risks faced by personnel in intensive care/critical care settings.
Of 687 PIs in intensive care units (ICUs), nurses had the highest proportion of...
Quality assurance
Blood gases/acid-base
Preanalytical phase
Article
April 2005
Specimen mislabeling: A significant and costly cause of potentially serious medical errors
Preanalytical errors are a significant source of medical
errors that can jeopardize patient safety. Proper specimen labeling
practices are critical components of effective and accurate patient
identification.
These variables are now considered part of the
preexamination process in the newest CLSI quality system...
Process optimization
Preanalytical phase
Journal Scan
April 2005
Choice of blood sample for blood gas analysis
Venous blood is an acceptable alternative to arterial blood for
estimation of bicarbonate by blood gas analysis, according to the
results of a recently published Australian study. Over a six-month
study period, clinicians at the Emergency Department of Western
Hospital in Melbourne simultaneously sampled venous and...
Blood gases/acid-base
Preanalytical phase