POC %O2 sat for Cath Lab

We use the Avox 1000E, the staff likes it.  We currently do not have it thru Telcor.  They enter the results via doctor/nurses notes.

after we moved forward with this, Radiometer approach me, that they have an instrument for the Cath lab. I never looked into this option.

We also use the AVOX 1000 and do not have them interfaced to Telcor, nursing enters results in Epic under the Hemodynamic Flowchart. Nursing also manually records quality control results on a log.

We use AVOX 1000 also.  The user interface is antiquated by the instrument is very dependable and super fast time to results.  Once every few years we have Biomed clean the optics but we have never had to re-calibrate and it plugs along just fine.  Now that ITC owns these maybe the user interface and software will be updated.   Our users have an external XPER cath lab documentation system and enter the results in that.  Then a PDF is interfaced to epic.  I do wish we had a telcor interface because you need to manually download QC and patient data via a laptop.  Staff use paper QC logs. 

The Radiometer ABL80 is nice!  Not sure how expensive it is but if you had other Radiometer instruments I think you could can use the same result line to Telcor or Rals. 

The Avox product line is now owned by IL--ITC was 2 companies ago! The big issue we have in our cath labs with blood gas instruments for O2 Sat is the time between tests. The testing time itself is pretty speedy, but then the instrument can't go right into another reading. The cath lab needs a faster turnaround for subsequent samples.

We have the ABL-80 Flex OSM in our cath lab. We use it for the ThB, FO2 and SO2 and have it connected to RALS Web 3. It is Uni-directional....instrument to RALS. Solution packs are good for 60 days / 200 uses (low volume use). Staff love it and there has been little to no downtime. Easy to use, fast and little maintenance. Just checked patient times and they run multiple samples 1-2 min apart. Field service is great too!

Lois.Snider@stclair.org

Hi Cathy, which CLSI document refers to the I-STAT O2 Sat?

 We have used the AVOX1000E since 2011 and find that it is a great fit.  We have it interfaced to Telcor/QML and although I don't recall the exact one-time fee, I don't remember it to be cost-prohibitive.  To me, the cost/effort of interfacing is well worth not having to keep up a system of auditing the results that are entered manually per CAP guidelines.  You cannot beat the speed of this primitive little box and it was easily the favorite among nurses when we had them trial it and other devices.  It is really made for a cath lab setting.

  The AVOX's primary limitations are not having liquid QC lockouts (based on schedule/frequency nor acceptable range), not having a barcode reader, and not being able to accept greater than 11 characters for a patient ID.  The fact that we are a somewhat low-volume cath lab with little staff turnover allows these facts not to be dealbreakers.

  One caution in this conversation - the value you should be after is in fact O2Hb (oxyhemoglobin), not O2 sat, though that is what everybody (MDs and nurses) calls it.  They are not the same thing - true oxygenated hemoglobin, without the contribution of dyshemoglobins (CoHb and MetHb) is O2Hb.  AVOX, in fact, reports O2Hb, not O2 sat.  The Radiometer OSM80 reports both, but you can of course choose what you want to report.