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Articles by Walter G. Guder
Showing articles by "Walter G. Guder"
Article
May 2002
STAT testing in the neonate
Babies are not small adults! The potential for abnormal adaptation to life outside of the womb, changes in physiology, and a myriad of possible life-threatening clinical conditions requires an understanding of the laboratory tests needed to support these infants.
To effectively handle the unique needs of these...
Point-of-care testing
Neonatology
Glucose
Creatinine/urea
Hemoglobins
Article
December 2001
Preanalytical issues in neonatology
Neonates are subject to more preanalytical influences than any other population group. Many of these are related to the maturity of the infant and its adaptation to extra-uterine life.
The necessary need for capillary blood collection and processing of small quantities of blood introduce additional preanalytical...
Glucose
Lactate
Creatinine/urea
Hemoglobins
Blood gases/acid-base
Neonatology
Preanalytical phase
Article
May 2001
The quality of diagnostic samples
While analytical quality standards seem well established, there has been a paucity in the development of such standards for the preanalytical phase.
Technical recommendations regarding sampling, transport, and identification have been developed in national (NCCLS, DIN) and international (IFCC, ISO) consensus...
Preanalytical phase
Quality assurance
Glucose
Lactate
Hemoglobins
Article
May 2001
Biological variation and quality for POCT
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...
Quality assurance
Article
May 2001
Quality planning and control strategies
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...
Quality assurance
Article
December 2000
Blood gases, acid-base balance, muscle mass and exercise capacity at the upper tolerable limit for humans of acute and chronic hypoxia
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.
Blood gases/acid-base
Glucose
Article
April 2000
Measurement of transcutaneous oxygen tension in patients with diabetic foot complications
Examination of peripheral pulses and peripheral blood pressures are commonly used methods for investigation of macrocirculation. However, falsely elevated peripheral blood pressures may complicate the accurate prediction of ulcer healing in diabetic patients. Because tcpO2 also measures the nutritive skin capillary...
Blood gases/acid-base
Article
December 1998
The current status of transcutaneous blood gas analysis and monitoring*
The possibility of continuously monitoring arterial blood oxygen and carbon dioxide using heated surface electrodes on human skin was discovered in the early 1970s and made commercially available by 1976.
These devices were applied initially to premature infants in an effort to reduce the incidence of blindness due...
Blood gases/acid-base
Neonatology
Lactate
Article
November 1997
The roles of transcutaneous carbon dioxide measurement in a respiratory support center
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....
Blood gases/acid-base
Kidneys/fluids
Article
November 1997
Can transcutaneous oxygen and carbon dioxide tensions reflect arterial levels during exercise testing?
This lab study shows that transcutaneous values can closely follow changes in arterial blood gas by using an electrode temperature of 45 °C to monitor exercise with gradual workload.
Blood gases/acid-base
Hemoglobins
