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Articles by Melissa J. D. Archangelo
Showing articles by "Melissa J. D. Archangelo"
Article
April 2004
Multiprofile blood gas method comparison studies
Numerous method comparison studies of blood gas analyzer methods have been published in the literature; unfortunately, several studies show flaws in one or several aspects of experimental design, execution, statistical analysis or interpretation of results. The most common flaw seems to be an inability to separate...
Preanalytical phase
Point-of-care testing
Quality assurance
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
Setting the record straight on shunt
The understanding and management of ventilation-perfusion (V/Q) relationships represents a cornerstone of intensive care unit (ICU) patient management.
The physiologic shunt calculation can reliably reflect the degree of gas exchange attributable to intrapulmonary disease or intracardiac shunting regardless of other ...
Blood gases/acid-base
Hemoglobins
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
January 2004
The challenges of point-of-care testing, mate
Minimizing costs? Quality assurance? Training? Simpler devices? acutecaretesting.org asked four healthcare professionals in Australia and New Zealand what they saw as the main challenges of POCT.
Answers were broad in spectrum. Nevertheless, three challenges were (directly or indirectly) mentioned repeatedly:...
Point-of-care testing
Article
January 2004
Ole Siggaard-Andersen: The man behind the legend
When it comes to acid base, there is no getting around the name of Ole Siggaard-Andersen (OSA). acutecaretesting.org talks to the world-renowned Danish professor, who has become a legend in the field of blood gas.
Blood gases/acid-base
Lactate
Article
January 2004
Monitoring fluid and electrolyte therapy in the newborn intensive care unit
Fluid and electrolyte management is an important and challenging part of the management of any very premature or critically ill newborn. The newborn's ability to maintain fluid and electrolyte homeostasis in the face of the vagaries of extrauterine life is compromised by immature renal function.
The very premature...
Preanalytical phase
Neonatology
Glucose
Lactate
Creatinine/urea
Article
January 2004
Transcutaneous monitoring of pO2 and pCO2 in neonates - a blessing or a burden?
Monitoring of blood gases is essential in neonatal intensive care. Traditionally arterial samples have been considered the gold standard, but in critically ill neonates physiological changes can happen within minutes to a degree endangering the newborn.
Clinicians can therefore not rely solely on intermittent...
Neonatology
Article
October 2003
Are we ready for the outbreak of an epidemic?
That is the question the Hvidovre Hospital had to ask itself in May 2003, when the Danish National Board of Health and the Copenhagen Hospital Corporation appointed it to be one of the country's three key sites for receiving and treating SARS patients.
Once appointed, the hospital began a painstaking process of...
Point-of-care testing
Article
October 2003
Proficiency testing versus QC-data-comparison programs
Evaluation of the quality of the total testing process of a laboratory is very important to assure that the results supplied by the laboratory are correct and can be used for decisions by the personnel ordering the tests. In this paper Proficiency Testing (PT) or External Quality Assessment (EQA) is described.
PT is...
Quality assurance
