Search our Database of Scientific Publications and Authors

I’m looking for a

    Details and Download Full Text PDF:
    Perioperative Glucose Management: Point-of-Care Testing and Pseudohypoglycemia.

    A A Case Rep 2015 Jul;5(1):13-4
    From the Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.
    Perioperative hypoglycemia has been associated with adverse outcomes. Consequently, perioperative monitoring of blood glucose using convenient point-of-care (POC) monitors is frequently used. Although venous or arterial glucose POC testing has been cleared for use in critically ill hospitalized patients, the results of capillary glucose POC testing should be interpreted with caution because capillary POC samples are usually less reliable than those obtained from arterial or venous sites. We describe a case of pseudohypoglycemia using such testing. This case highlights the importance of individualizing perioperative glucose management to venous or arterial rather than capillary sampling in certain clinical situations.
    PDF Download - Full Text Link
    ( Please be advised that this article is hosted on an external website not affiliated with PubFacts.com)
    Source Status
    10.1213/XAA.0000000000000164
    DOI ListingPossible
    http://dx.doi.org/10.1213/XAA.0000000000000164DOI ListingPossible

    Similar Publications

    Evaluation of a continuous glucose monitoring system compared with an in-house standard laboratory assay and a handheld point-of-care glucometer in critically ill neonatal foals.
    J Vet Emerg Crit Care (San Antonio) 2013 Jul-Aug;23(4):408-15. Epub 2013 Jul 16.
    Equine Department, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057, Zurich, Switzerland.
    Objective: To evaluate the applicability and accuracy of a continuous glucose monitoring system (CGMS) in critically ill foals by comparing the performance of the CGMS, a point-of-care (POC) glucometer, and an in-house standard laboratory assay (SLA).

    Design: Prospective study.

    Setting: University teaching hospital. Read More
    Challenges to glycemic measurement in the perioperative and critically ill patient: a review.
    J Diabetes Sci Technol 2009 Nov 1;3(6):1270-81. Epub 2009 Nov 1.
    Department of Medicine, University of Florida College of Medicine, Gainesville, Florida 32610-0254, USA.
    Accurate monitoring of glucose in the perioperative environment has become increasingly important over the last few years. Because of increased cost, turnaround time, and sample volume, the use of central laboratory devices for glucose measurement has been somewhat supplanted by point-of-care (POC) glucose devices. The trade-off in moving to these POC systems has been a reduction in accuracy, especially in the hypoglycemic range. Read More
    Discrepant Glucose Results between Capillary and Venous Blood in an 83-Year-Old White Man.
    Lab Med 2014 ;45(4):e156-7
    Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA Clinical Laboratories, University of Pittsburgh Medical Center Presbyterian and Shadyside Hospitals, Pittsburgh, PA McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA
    Herein, we present a case of pseudohypoglycemia induced by hypothermia in an 83-year-old white man in whom glucose levels between venous and capillary blood were discrepant. Although pseudohypoglycemia has been reported in the literature, it is under-recognized among health care professionals and laboratorians. Health care professionals may encounter pseudohypoglycemia using glucose meters; the potentially inaccuracy of glucose meter results for critically ill patients has been intensely debated recently. Read More
    Reliability of point-of-care testing for glucose measurement in critically ill adults.
    Crit Care Med 2005 Dec;33(12):2778-85
    Department of Pharmacy, The Ottawa Hospital, Ottawa, Canada.
    Background: Glycemic control is increasingly being recognized as a priority in the treatment of critically ill patients. Titration and monitoring of insulin infusions involve frequent blood glucose measurement to achieve target glucose ranges and prevent adverse events related to hypoglycemia. Therefore, it is imperative that bedside glucose testing methods be safe and accurate. Read More