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Articles by W. G. Zijlstra
Showing articles by "W. G. Zijlstra"
Article
February 2005
Oxygen therapy in the newborn period represents a challenge
Oxygen is one of the most widely used drugs in medicine,
and especially so in the newborn period. In many cases, oxygen
supplementation is needed and is life-giving, but we are also aware
of its toxic effects. In spite of this, we still do not know
exactly what is the correct way to administer this drug.
It is a...
Neonatology
Blood gases/acid-base
Article
January 2005
Tips for developing training materials with the help of vendors
Is it a good idea to rely on vendors to help develop
training materials for point-of-care testing staff? According to
the lab group responsible for point-of-care (POC) testing at the
Malmö University Hospital in Sweden, vendor cooperation can help
you achieve a better result, faster.
However, the better prepared
you ...
Point-of-care testing
Quality assurance
Article
January 2005
Twelve keys to effective competency programs
What does it take to ensure an effective competency
program? Acutecaretesting.org asked three point-of-care coordinators (POCC)
with solid programs what makes their competencies work. Their input
resulted in a list of 12 key recommendations.
Process optimization
Point-of-care testing
Quality assurance
Article
January 2005
Pneumatic tube transport of samples for blood gas analysis
The significance of good practice during the pretesting
phase of clinical laboratory investigation cannot be
overemphasized. The production of high-quality, accurate results,
which are clinically useful, depends as much on practice before the
patient’s sample reaches the laboratory as it does on the
analytical phase...
Blood gases/acid-base
Process optimization
Preanalytical phase
Lactate
Article
January 2005
Permissive Hypercapnia-Continuous Monitoring
Neonatology, perhaps more than any other field in medicine, has undergone dramatic improvements in care over the last several decades. One of the main areas of advancement is the ability to mechanically ventilate premature infants with a variety of neonatal lung conditions.
As survival of premature infants has...
Blood gases/acid-base
Article
January 2005
Biological variation and reference (normal) values
Test results are commonly interpreted against
population-based reference (normal) intervals, which should be
provided on every laboratory report, irrespective of whether
the test has been done as point-of-care testing or in a
clinical laboratory.
Reference intervals are difficult to
generate properly if international ...
Quality assurance
Creatinine/urea
Hemoglobins
Article
October 2004
Permissive hypercapnea: Protecting the infant lung
Almost as soon as healthcare providers began ventilating neonates with respiratory distress syndrome, the problem of chronic lung disease began. How to manage these children in a way to promote lung growth and disease-free survival has been the question for those involved in the care of these infants since that time....
Neonatology
Hemoglobins
Article
September 2004
Hematocrit - a review of different analytical methods
To assess anemia and reduced oxygen-carrying
capacity, a measurement of hematocrit and/or hemoglobin is
performed. Whether hemoglobin or hematocrit is preferred
depends on different needs and is often determined by
tradition.
Both hematocrit and hemoglobin are important
hematology parameters for diagnosing...
Preanalytical phase
Quality assurance
Hemoglobins
Kidneys/fluids
Article
September 2004
Biological variation - what’s it all about?
Biochemical and hematological analyses are done in laboratories, clinics, general practices and in point-of-care settings such as ITU. Generally, numerical test results are generated.
Test results vary in individuals over time due to preanalytical variation, analytical imprecision and biological variation. The...
Quality assurance
Hemoglobins
Glucose
Article
August 2004
Diabetic ketoacidosis
Disturbance of the mechanisms which maintain normal
blood pH is a defining feature of diabetic ketoacidosis (DKA),
an acute and life-threatening complication of the chronic
metabolic disease, diabetes.
For this reason diagnosis and
monitoring of DKA invariably include measurement of arterial
blood gases. This...
Electrolytes
Blood gases/acid-base
Preanalytical phase
Glucose
Creatinine/urea
Kidneys/fluids
Point-of-care testing
