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Articles by Ian Gunsolus
Showing articles by "Ian Gunsolus"
Article
April 2018
Observation of clinically significant errors in oxygen saturation calculations when pO2 is low
Calculation-based approaches to determining oxygen saturation, as used in some point-of-care tests, increasingly deviate from values measured directly by CO-oximetry as the partial pressure of oxygen in the blood decreases. Oxygen saturation should be measured by CO-oximetry when inaccuracies in calculations may...
Point-of-care testing
Blood gases/acid-base
Article
December 2014
Role of POCT in the management of patients with acute dyspnea
This short review aims to put the diagnostic options provided by state-of-the-art POCT technology into perspective with the clinical challenges faced by physicians treating patients presenting with acute dyspnea.
Natriuretic peptides, hemoglobin, D-dimers and venous blood gases play a key role in the early...
Cardiac markers
Blood gases/acid-base
Hemoglobins
Natriuretic peptide
Article
October 2014
Point-of-care cardiac markers in the Emergency Department are safe, reduce admissions and do not impact on the 4-hour target
Barnsley Emergency Department (ED), which recruited patients into the RATPAC trial, initiated a point-of-care (POC) pathway for low-risk chest pain patients from December 2011.
All patients who underwent POC testing for chest pain between December 2011 and July 2012 were identified. Patient notes were then examined...
Cardiac markers
Point-of-care testing
Process optimization
Troponins
Article
January 2014
Point-of-care athletes testing, a new approach to sport performance evaluation in high-level athletes
In high-level athletes preparation, using point-of-care testing (POCT) in sports-specific environments, we tried to define and control the levels of exercise intensities (“energy training zones”), to quantify metabolic functionality (sports-specific energy sources, baseline conditions, functional costs of exercise in...
Point-of-care testing
Blood gases/acid-base
Lactate
Article
April 2009
Biomarkers in sepsis: the present and the future
Timely and accurate diagnosis of sepsis is of great importance for the choice of treatment, level of monitoring and prognosis. For this biomarkers could be a significant aid, and thus the search for and application of sepsis biomarkers are of great importance.
Current evidence suggests that C-reactive protein and...
Infection/sepsis
Troponins
PCT
CRP
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
Article
November 1997
The roles of transcutaneous carbon dioxide measurement in a respiratory support center
Transcutaneous monitoring of carbon dioxide plays an important role during short-term and long-term treatments for ventilatory failure.
Progress during short-term treatments can be judged through tcpCO2 recordings - especially to avoid crash reintubation of patients who have been weaned off invasive ventilation....
Blood gases/acid-base
Kidneys/fluids
