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Articles by John H. Eckfeldt
Showing articles by "John H. Eckfeldt"
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
June 2011
How to manage sepsis in the Emergency Department leading to a decreased mortality in ICU - the Critical Care Cascade
Patients with sepsis, severe sepsis and/or septic shock are at increased risk of death and organ dysfunction.
While morbidity and mortality of patients with severe traumatic injury, acute myocardial infarction or stroke have been significantly reduced during recent years by the implementation of well-coordinated...
Infection/sepsis
Glucose
Point-of-care testing
Lactate
Hemoglobins
Article
April 2011
The importance of preoperative evaluation of NT-proBNP
Postoperative cardiovascular event including myocardial infarction or heart failure is a major cause of morbidity after non-cardiac surgery. Preoperative evaluation including estimation of the probability of perioperative cardiac event and application of non-invasive testing or beta-blocker has been developed, but...
Cardiac markers
Creatinine/urea
CRP
Natriuretic peptide
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
April 2011
Optimizing accuracy and precision for point-of-care tests
Point-of-care testing sites continue to increase in number due to the availability of easy-to-use devices that make it possible to provide test results very quickly relative to the central laboratory services. There is, however, mixed review regarding the accuracy and reliability of POCT results for patient care. It...
Point-of-care testing
Preanalytical phase
Quality assurance
Glucose
Hemoglobins
Lactate
Troponins
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
Article
October 2010
D-dimer: Past, present, and future
The following is a copy of an article from Nursing 2007, Fall 2007 Volume 37 Number 8 - Supplement: ED Insider, Pages 14 - 16
The D-dimer level is a measure of clot formation and lysis that results from the degradation of cross-linked fibrin. Widely used as an indicator for the presence of disseminated intravascular ...
Coagulation/fibrinolysis
D-dimer
Article
October 2010
Creatinine measurement in the radiology department 2
Clinical laboratory measurement of serum/plasma creatinine concentration has been used to assess patient kidney function for well over 50 years.
With the incorporation of creatinine analyses to blood gas and other point-of-care platforms the test is now available outside the laboratory, at the bedside and in the...
Point-of-care testing
Glucose
Creatinine/urea
Article
July 2010
Lean as a learning system in a hospital ward
PURPOSE – The purpose of this article is to discuss lean as a learning system in a hospital ward.
DESIGN/METHODOLOGY/APPROACH – Discusses lean as a learning system in a hospital ward.
FINDINGS – The Toyota veterans are fond of saying, lean is about “making people before making parts” or, in the wards’ context,...
Process optimization
Information management
Article
July 2010
Cardiac biomarkers for acute coronary syndrome and ongoing myocardial damage in heart failure
The growing role of cardiac markers has
been elucidated in patients with acute coronary syndrome, heart
failure and other cardiovascular diseases.
The markers can be cytosolic like
heart-type fatty-acid-binding protein (H-FABP) and creatine kinase
MB (CKMB), myofibrillary like troponin T (TnT) and cardio-endocrine...
Cardiac markers
Troponins
Natriuretic peptide
