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Articles
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Article
June 2001
Quality control of multi-profile blood gas testing
Whether performed by one "traditional" or several "point-of-care" devices, all Multi-Profile Blood Gas (MPBG) results must be accurate and precise if they are to be effective in managing critically ill patients.
Optimal analytical quality control of multi-profile blood gas analysis requires a good quality assurance...
Quality assurance
Article
June 2001
Establishment of "metrological traceability" for quality control materials and calibrators
The concept of “metrological traceability” is important when establishing comparable clinical decision limits for a measured analyte at different hospitals within one country and in different countries.
This can only be achieved if all instrument manufacturers establish the performance characteristics of their...
Kidneys/fluids
Quality assurance
Article
June 2001
Quality planning and control strategies
What quality is being controlled in laboratories today? The definition of a quality requirement for each laboratory test is the starting point of quantitative quality management.
Different types of requirements may be used as long as there are appropriate quality-planning models for translating those requirements...
Quality assurance
Article
June 2001
The quality of diagnostic samples
While analytical quality standards seem well established, there has been a paucity in the development of such standards for the preanalytical phase.
Technical recommendations regarding sampling, transport, and identification have been developed in national (NCCLS, DIN) and international (IFCC, ISO) consensus...
Preanalytical phase
Quality assurance
Glucose
Lactate
Hemoglobins
Article
February 2001
Hyperbilirubinemia and requirements to the determination of the concentration of bilirubin
60 % of all neonates develop jaundice during their first week of life and thereby run a risk of getting hyperbilirubinemia.
Although different approaches for establishing treatment criteria have been suggested, treatment of neonatal hyperbilirubinemia is usually still based on the measurement of total bilirubin...
Preanalytical phase
Bilirubin
Neonatology
Hemoglobins
Article
December 2000
Myocardinal oxygen extraction after two months of adaptation to high altitude
Two months of acclimatization to high altitude leads to an adaptation of the aerobic capacity of the myocardium, characterized by an increased ability to extract O2 from the coronary vascular bed. An increased mitochondrial volume and activity of oxidative enzymes or improved diffusion conditions could be involved.
Point-of-care testing
Blood gases/acid-base
Lactate
Hemoglobins
Article
May 2000
Clinical cases on detection of critical limb ischemia
How relevant is transcutaneous measurements in the detection of critical limb ischemia? Acutecaretesting.org has asked a group of respected researchers and clinicians in the US and Europe to describe how they use transcutaneous measurements in their daily work.
Blood gases/acid-base
Article
December 1999
Management of point-of-care testing
Point-of-care testing (POCT) is a delivery option for performing laboratory testing closer to the patient. Due to increasing healthcare pressures for faster turnaround of laboratory results and the development of a broader menu of testing devices, POCT is growing in popularity. Devices today are more portable,...
Point-of-care testing
Glucose
Hemoglobins
Article
Article
December 1998
The current status of transcutaneous blood gas analysis and monitoring*
The possibility of continuously monitoring arterial blood oxygen and carbon dioxide using heated surface electrodes on human skin was discovered in the early 1970s and made commercially available by 1976.
These devices were applied initially to premature infants in an effort to reduce the incidence of blindness due...
Blood gases/acid-base
Neonatology
Lactate