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Articles by Carl C. Holbek
Showing articles by "Carl C. Holbek"
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
August 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
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
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
May 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 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
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
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
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
October 2003
Pulse oximetry vs. transcutaneous monitoring in neonates: practical aspects
Non-invasive monitoring of oxygenation has become a standard procedure in neonatal critical care. Both transcutaneous pO2 (tcpO2) monitors and pulse oximeters involve methodological and practical issues that should be known to those using these devices in infants.
tcpO2 measurements are influenced by skin thickness, ...
Neonatology
Hemoglobins
