Neonatal Blood gas monitoring

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Our NICU was using a VIA blood gas monitoring system for pH, pCO2, pO2, Na, K, and HCT. This monitoring system has been discontinued so they are looking for a replacement that will use very little blood for their very low birth weight babies that need frequent blood gas samples. Wondering what other NICU's are using for blood gases on these types of patients - either another monitoring system like the VIA or a POC analyzer?

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Hi Lois,
We are using several devices, depending on the location. We have RapidPoint 500e in one NICU. Advantage is that it can also do nbili. We have a GEM5000 in another hospital. We also have Epoc at our Women's Hospital NICU. All of these have their pluses and minuses, but all do the job. I believe they all use a sample size of about 100 microliters.

We use the ISTAT for blood gas testing. We have a level IV NICU.

Hi Lois,

We are using Radiometer ABL90 Flex plus analyzers and can run capillary samples. They have special safe Pico capillary syringes with mixing bars 
included in the devices. We have also previously used the Siemens ePOC devices with capillary samples as well. 

We use the Abbott iSTAT CG8+ cartridge. thank you

I hadn't heard of the Via system, so I looked it up online (yay Google!). It looks like it's a continuous monitoring system, where it's connected to the arterial/venous line to pull sample off for blood gas. I'm not aware of anything else in the market that will do this. I remember in the 90s i-STAT had a module called BAM where they could connect to a patient art line, but don't know what happened to it--haven't heard anything since.
Good luck!

We use the Siemens Epoc and Nova Prime Plus.

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Lois Schultz
over 2 years ago
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