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Article
June 2004
Transcutaneous carbon dioxide monitoring in the Pediatric Intensive Care Unit
Arterial blood gas analysis with the measurement of the partial pressure of carbon dioxide in arterial blood may be performed in the Pediatric ICU to evaluate the efficacy of ventilation or evaluate acid-base status.
Although the direct measurement of PaCO2 remains the gold standard, it provides only a single...
Neonatology
Article
June 2004
To co-ox or not to co-ox
Oxygen saturation can be obtained from many different types of devices. This range of choices causes some confusion as to definitions of measured variables and their clinical interpretation.
This article gives some historical background and describes the two different ways saturation can be obtained from a blood gas ...
Blood gases/acid-base
Hemoglobins
Article
June 2004
An introduction to acid-base balance in health and disease
Arterial blood gas analysis is a test most frequently performed on critically ill patients in the emergency room, recovery room and intensive care unit by nursing staff. One of the main purposes of the test is assessment of acid-base status, which is often disturbed during critical illness.
This article is intended...
Blood gases/acid-base
Kidneys/fluids
Article
April 2004
The merit of routine cord blood measurement at birth
Cord blood ph measurement at birth, using relatively simple and non-invasive methods, provides obstetricians and perinatologists with an objective and sensitive measure for the condition of the infant during the final stage of birth.
As long as certain criteria are observed, the reported values are reliable. Routine ...
Neonatology
Blood gases/acid-base
Lactate
Article
April 2004
Multiprofile blood gas method comparison studies
Numerous method comparison studies of blood gas analyzer methods have been published in the literature; unfortunately, several studies show flaws in one or several aspects of experimental design, execution, statistical analysis or interpretation of results. The most common flaw seems to be an inability to separate...
Preanalytical phase
Point-of-care testing
Quality assurance
Article
April 2004
The practice of cord gas analysis in United Kingdom and Germany
Apgar scores and umbilical artery pH have traditionally been used as objective measures of neonatal asphyxia. According to the literature, the practice of cord gas analysis varies greatly both between and within countries - whether analysis is performed, whether it is routine at all births and why it is performed...
Blood gases/acid-base
Neonatology
Glucose
Article
March 2004
Transcutaneous monitoring: back to the future - An important adjunct to care during high frequency oscillatory ventilation
High frequency oscillatory ventilation (HFOV) is often used in neonatal intensive care. HFOV has been shown to decrease bronchopulmonary dysplasia [1,2,3] in preterm infants and to be very effective in the treatment of persistent pulmonary hypertension of the newborn when used in conjunction with inhaled nitric oxide ...
Neonatology
Hemoglobins
Article
January 2004
What is EQA
External Quality Assessment (EQA) in medical laboratories have evolved over the past 50 years to provide more sophisticated systems compared with the simple participants’ analytical performance evaluation of earlier years.
There are clear distinctions between the proficiency testing schemes and the evolved External...
Quality assurance
Article
January 2004
Useful tips to avoid preanalytical errors in blood gas testing: metabolites
Measurement of glucose and lactate after 30 minutes of storage at room temperature can give deviating results of up to 5 % [1,2] and 29 % of the reference value [3] respectively [1,4], due to in vitro glycolysis
Glucose and lactate are both important parameters in the surveillance of patients in critical care...
Preanalytical phase
Glucose
Quality assurance
Lactate
Blood gases/acid-base
Article
January 2004
Ole Siggaard-Andersen: The man behind the legend
When it comes to acid base, there is no getting around the name of Ole Siggaard-Andersen (OSA). acutecaretesting.org talks to the world-renowned Danish professor, who has become a legend in the field of blood gas.
Blood gases/acid-base
Lactate