The results of laboratory tests are used in many clinical settings. In the main, results obtained in point-of-care testing (POCT) are used either in monitoring or in diagnosis. Analytical quality does affect outcomes in these clinical situations. Numerical estimates of the quality required for laboratory tests to...

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...

An altitude of 5,000 meters above sea level or just above is just about what humans can bear - be it during an acute ascent or for permanent living. This study describes how bodily functions of crucial importance to survival at high altitude adjust after abrupt exposure to severe hypoxia.

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.

Providing continuous technical support and reliable test data collection for point-of-care blood gas testing is a difficult task for many laboratories.  Here we describe how the implementation of an integrated instrument control and data management system for point-of-care blood gas testing has streamlined these...

The pro-con debate on the advisability of introducing POCT deals with the likely clinical benefits but – to an even higher degree – with the economic aspects. We discuss various models for determining the costs, and some caveats.

Our ability to assess the oxygenation status in critical care with a high degree of accuracy has improved as a result of recent developments in optical technology. The determination of the oxygenation status, however, remains a complex issue due to its multifaceted nature. This review discusses the definitions,...

Postoperative monitoring in critical care patients has become a widening field over the past few decades. Improvements in outcome can be related to advances in this field as well as in intraoperative management and preoperative assessment.

Measurement of transcutaneous oxygen tension (tcpO₂) has gained worldwide acceptance as a simple and effective method of evaluating cutaneous blood flow in settings where skin viability and the adequacy of skin blood flow are of major concern. An example of such a setting is the non-invasive vascular laboratory at...

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....