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Article
January 2005
Tips for developing training materials with the help of vendors
Is it a good idea to rely on vendors to help develop
training materials for point-of-care testing staff? According to
the lab group responsible for point-of-care (POC) testing at the
Malmö University Hospital in Sweden, vendor cooperation can help
you achieve a better result, faster.
However, the better prepared
you ...
Point-of-care testing
Quality assurance
Article
January 2005
Understanding the principles behind blood gas sensor technology
Today’s blood gas sensors are the result of many
years of gradual improvements and optimizations. The operating
principles behind sensor technology have largely remained
unchanged, even though the size of analyzers and thus of
sensors has decreased remarkably.
However, miniaturization has
created a new challenge: to ...
Preanalytical phase
Blood gases/acid-base
Glucose
Kidneys/fluids
Article
January 2005
Permissive Hypercapnia-Continuous Monitoring
Neonatology, perhaps more than any other field in medicine, has undergone dramatic improvements in care over the last several decades. One of the main areas of advancement is the ability to mechanically ventilate premature infants with a variety of neonatal lung conditions.
As survival of premature infants has...
Blood gases/acid-base
Article
October 2004
Jaundice in the newborn infant
About half of all newborn infants born at term develop
jaundice during their first days of life, and the lower the
gestational age the more frequent the jaundice is. Newborns
develop hyperbilirubinemia because of a large bilirubin
production, low hepatic excretion and enterohepatic
recirculation. At birth the newborn ...
Bilirubin
Neonatology
Hemoglobins
Article
October 2004
Overcoming the limitations of barcode technology
The introduction of armband barcode scanning
capabilities to point-of-care glucose testing devices has been
shown to greatly reduce patient identification errors. Barcodes
may be scanned to identify operators, patient identification
and reagents. Barcode scanning, however, does not eliminate all
errors, and in some...
Information management
Glucose
Preanalytical phase
Process optimization
Article
September 2004
Biological variation - what’s it all about?
Biochemical and hematological analyses are done in laboratories, clinics, general practices and in point-of-care settings such as ITU. Generally, numerical test results are generated.
Test results vary in individuals over time due to preanalytical variation, analytical imprecision and biological variation. The...
Quality assurance
Hemoglobins
Glucose
Article
September 2004
Diabetic ketoacidosis
Disturbance of the mechanisms which maintain normal
blood pH is a defining feature of diabetic ketoacidosis (DKA),
an acute and life-threatening complication of the chronic
metabolic disease, diabetes.
For this reason diagnosis and
monitoring of DKA invariably include measurement of arterial
blood gases. This...
Electrolytes
Blood gases/acid-base
Preanalytical phase
Glucose
Creatinine/urea
Kidneys/fluids
Point-of-care testing
Article
September 2004
Hematocrit - a review of different analytical methods
To assess anemia and reduced oxygen-carrying
capacity, a measurement of hematocrit and/or hemoglobin is
performed. Whether hemoglobin or hematocrit is preferred
depends on different needs and is often determined by
tradition.
Both hematocrit and hemoglobin are important
hematology parameters for diagnosing...
Preanalytical phase
Quality assurance
Hemoglobins
Kidneys/fluids
Article
July 2004
Useful tips to avoid preanalytical errors in blood gas testing: neonatal total bilirubin
50-75 % of all newborns develop jaundice during their first week of life [1,2,3]. The decision behind which treatment is necessary and when it should be initiated is based upon a measurement of the concentration of total bilirubin (ctBil) in serum, plasma or whole blood.
It is therefore obvious that it is important...
Quality assurance
Bilirubin
Preanalytical phase
Hemoglobins
Blood gases/acid-base
Article
July 2004
The heart of the matter
Blood gas analysis at the point of care plays an important role during and after an open-heart surgery. acutecaretesting.org recently talked to Prof. Knut Kleesiek, MD, Director of the Institute for Laboratory and Transfusion Medicine of the Heart and Diabetes Center North Rhine-Westphalia in Germany, to find out more ...
Point-of-care testing
Blood gases/acid-base
Glucose
Hemoglobins
Lactate