Point-of-care Testing of Coagulation in Intensive Care Unit: Role of Thromboelastography

For critically ill patients, point-of-care ultrasound (POCUS) has been rapidly adopted for use in emergency departments and critical care units for diagnostic purposes and to guide decision making. We present two unique clinical scenarios in the Pediatric Intensive Care Unit (PICU), one in which ultrasound was used as a diagnostic tool to identify pulmonary edema, and the other in which ultrasound was used to facilitate placement of a naso-duodenal tube for enteral feeding. The potential role of POCUS in the PICU is presented and its utility in these two unique clinical scenarios discussed. Although, many cases will still require further radiological tests, The success of POCUS lies in immediate diagnosis allowing at the spot therapeutic interventions without wasting precious time.Citation: Lyman R, Yamaguchi Y, Moharir A, Tobias JD. Utility of point-of-care ultrasound in the pediatric intensive care unit. Anaesth pain & intensive care 2019;23(3):314-317

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Validation of glucose meter for point of care testing in intensive care unit: the Cleveland Clinic Abu Dhabi Experience

10.26226/morressier.59d51844d462b80296ca396e ◽

2017 ◽

Author(s):

Mirza Imran

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Point Of Care ◽

Cleveland Clinic ◽

Abu Dhabi ◽

Point Of Care Testing ◽

Glucose Meter

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Echocardiography and Ultrasound in the Intensive Care Unit

Advances in Medical Technologies and Clinical Practice - Modern Concepts and Practices in Cardiothoracic Critical Care ◽

10.4018/978-1-4666-8603-8.ch032 ◽

2015 ◽

pp. 890-907

Author(s):

Pranav R. Shah ◽

Chad Wagner ◽

Andrew Shaw

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Venous Thrombosis ◽

Diagnostic Tool ◽

Point Of Care ◽

Venous Access ◽

Lung Pathology ◽

Cardiac Evaluation ◽

And Training

Sonography in the intensive care unit is a rapidly emerging point-of-care diagnostic tool. Literature supports the use of sonography for the evaluation of lung pathology, protocol based focused cardiac evaluation, and abdominal pathology, as well as identifying deep venous thrombosis. There is also evidence that ultrasound guided procedures such as venous access, thoracentesis, and paracentesis may decrease complications compared to a landmark based technique. However, there is ambiguity in the literature regarding definition, scope, and training in this modality as used by intensivists. The purpose of this chapter is to provide a broad overview of the role of ultrasound in the ICU and data supporting the use of point-of-care protocols. This chapter does not provide instruction on how to perform a complete transthoracic or transesophageal exam, nor does it provide a library of images of various pathologies since a reader seeking such depth would be better served by a full textbook on echocardiography.

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Point-of-care testing on admission to the intensive care unit: lactate and glucose independently predict mortality

Clinical Chemistry and Laboratory Medicine (CCLM) ◽

10.1515/cclm-2012-0258 ◽

2013 ◽

Vol 51 (2) ◽

Cited By ~ 10

Author(s):

Jan Martin ◽

Manfred Blobner ◽

Raymonde Busch ◽

Norman Moser ◽

Eberhard Kochs ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Point Of Care ◽

Point Of Care Testing

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Economic evaluation of blood glucose point–of–care testing in the intensive care unit

Value in Health ◽

10.1016/j.jval.2014.03.1459 ◽

2014 ◽

Vol 17 (3) ◽

pp. A250

Author(s):

Steuten L.M.G. ◽

M. Kip ◽

R. Hooijdonk ◽

H. Monteban ◽

P. Spronk ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Economic Evaluation ◽

Blood Glucose ◽

Point Of Care ◽

Point Of Care Testing

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Significance of serum electrolyte imbalance and comparison between different testing methods in patients with altered sensorium presenting to tertiary care hospital

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20192247 ◽

2019 ◽

Vol 6 (3) ◽

pp. 828

Author(s):

Harjit S. Dumra ◽

Kautuk A. Patel ◽

Gopal Raval ◽

Mansi Dandnaik ◽

Amrish Patel

Keyword(s):

Intensive Care Unit ◽

Emergency Department ◽

Intensive Care ◽

Tertiary Care Hospital ◽

Point Of Care ◽

Tertiary Care ◽

P Value ◽

Care Hospital ◽

Point Of Care Testing ◽

Sodium And Potassium

Background: Electrolyte disorders are common in patients in the emergency department and intensive care unit, and have been associated with increased morbidity and mortality. In this respect sodium and potassium are the most important cations, whose improper adjustment may cause severe neuromuscular disorders. This study was designed to compare values obtained by laboratory and point-of-care testing and also to find most frequent electrolyte abnormalities.Methods: Observational Study was done on 51 patients presenting to Tertiary care Hospital emergency department with altered sensorium between 1st January 2016 to 31st May 2017 fulfilling the inclusion criteria and willing for participation by giving written informed consent. Electrolytes were tested in patients with GCS 14 or less by both point of care system and in the laboratory.Results: The distribution of mean sodium and potassium levels did not differ significantly between two techniques (P-value>0.05). The sodium and potassium levels by POC and laboratory techniques are significantly and positively correlated (P-value<0.001). The distribution of mean along with 95% CI of mean of amount of bias in the estimation of Sodium and Potassium levels by POC against Laboratory method is 3.50 [2.79-4.20] mEq/L and 0.83 [0.55-1.11] mEq/L respectively. The most common electrolyte abnormality was hyponatremia.Conclusions: We concluded that it is advisable to do a point-of-care electrolyte in Emergency department and Intensive care unit. By use of point-of-care testing, we can identify electrolytes imbalance early in emergency department. Point-of-care electrolyte levels had a near comparable value with laboratory electrolyte levels.

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