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Articles by John G. Toffaletti
Showing articles by "John G. Toffaletti"
Article
July 2012
Effect of small air bubbles on changes in blood pO2 and blood gas parameters: calculated vs. measured effects
When collecting blood for blood gas analysis, it is important to remove air bubbles from syringes to avoid erroneous results, especially for pO2, with a number of factors affecting the potential magnitude of the interference to pO2 by air bubbles.
In this study, we calculate the expected theoretical changes in pO2...
Blood gases/acid-base
Preanalytical phase
Article
July 2012
Blood Lactate: A Useful Analysis in Emergency Care
Reprinted and translated by permission of Läkartidningen from “Serumlaktat - användbar analys inom akutsjukvården”, by Bengt R Widgren and Monique Ekhardt, 2011; vol 108: 475-477. Copyright 2011 by Author, Läkartidningen and AB Typoform, Sweden.Translated by Radiometer Medical ApS.
In emergency care triage, diagnosis...
Point-of-care testing
Glucose
Process optimization
CRP
Lactate
Hemoglobins
Article
April 2012
Why measure blood gases? A three-part introduction for the novice. Part 2.
Arterial blood gases (ABG), a clinical test that involves measurement of the pH of arterial blood and the amount of oxygen and carbon dioxide dissolved in arterial blood, is routinely used in the diagnosis and monitoring of predominantly critically/acutely ill patients being cared for in hospital emergency rooms and...
Blood gases/acid-base
Article
January 2012
Potential benefits when the critical reference change value for serial measurements of troponin I is used
A new parameter called critical reference change value (CrRCV) to be applied for the interpretation of serial measurements of cardiac troponin I (cTnI) is introduced. To illustrate the practical utility of CrRCV a set of clinical examples based on two consecutive cTnI results are presented.
Thus three cTnI changes...
Cardiac markers
Information management
Article
December 2011
Why measure blood gases? A three-part introduction for the novice - Part 1
Arterial blood gas (ABG) analysis generates a number of parameters (listed in BOX 5) that together allow assessment of pulmonary gas exchange, blood oxygenation and acid-base balance. These physiological functions of the blood, respiratory and renal systems are disturbed in a range of respiratory and non-respiratory...
Blood gases/acid-base
Hemoglobins
Article
September 2011
L-lactate and D-lactate - clinical significance of the difference
Modern blood gas analyzers often have incorporated sensor technology that allows measurement of plasma lactate concentration. In nature lactate exists in two isoforms: L-lactate and D-lactate.
In all vertebrates, including humans, the L-lactate form is by far the most abundant and pathophysiologically significant,...
Blood gases/acid-base
Glucose
Lactate
Kidneys/fluids
Article
July 2011
Central venous blood gas analysis
Blood gas analysis (BGA) is a laboratory and point-of-care test routinely used to assess acid-base status along with adequacy of ventilation and oxygenation among predominantly critically/acutely ill patients.
The ”gold standard” sample for BGA is arterial blood collected anaerobically by needle puncture of an artery ...
Blood gases/acid-base
Lactate
Hemoglobins
Article
July 2011
Assessment of plasma D-dimer as a diagnostic and prognostic aid for abdominal aortic aneurysm
Abdominal aortic aneurysms (AAAs) are currently identified by incidental imaging or ultrasound screening.
The potential diagnostic and prognostic value of D-dimer for AAA was assessed in this study. 1260 men from a population-based ultrasound screening study were included, of which 299 had small AAAs monitored by...
Coagulation/fibrinolysis
Creatinine/urea
D-dimer
CRP
Article
April 2011
Use of tri-sodium citrate in hemodialysis
Hemodialysis and related treatments for those with failing kidneys all involve blood flow through a circuit outside the body. This extracorporeal circuit - the dialysis machine and its connections from and back to the body - is a non-physiological, pro-coagulant environment.
To counter the tendency for patients'...
Point-of-care testing
Electrolytes
Blood gases/acid-base
Creatinine/urea
Kidneys/fluids
Article
January 2011
Critical values in laboratory medicine
The process of patient sample testing, whether performed in the clinical laboratory or at the point of care, is the sum of three distinct phases. The first is the preanalytical phase, which includes test selection as well as sample collection and handling.
The second is the analytical or measuring phase that...
Bilirubin
Electrolytes
Point-of-care testing
Blood gases/acid-base
Glucose
Lactate
Creatinine/urea
Hemoglobins
Kidneys/fluids
