i-STAT CHEM 8 for Pediatric OR Patients
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We have been asked to implement CHEM 8 testing in our Pediatric OR. They especially want it for intraoperative testing during long cases. The anesthesiologists have complained that the HCT on the Radiometer Blood Gas analyzer is not accurate. The i-STAT manual states that HCT results are affected by total protein levels. Would we be able to use the CPB correction? Does anyone else report out i-STAT Hematocrit for Pediatric and Neo Natal population?
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What model Radiometer are you using? If it has a cooximeter (ABL90, ABL800 series) in it, you are getting directly-measured tHb values, and calculated Hct - which is FAR better than the conductivity-based Hct and calculated tHb that you get on an iSTAT - especially in a critical care setting where there are lots of fluids getting administered and therefore fluctuating TP levels. Here's a link to a webinar about that very thing https://www.radiometeramerica.com/en-us/webinars/clinical-impact-of-accurate-hemoglobin-monitoring-in-surgical-and-critical-care-settings