None listed
Conditions
Brief summary
Samples from patients with septic shock or from stable individuals without infection were collected. The correlation between measures was assessed by Pearson’s test, agreement by Bland and Altman test and accuracy by following the Clinical and Laboratory Standard Institute (CLSI) criteria, both in the global sample and in the subgroups on noradrenalin and with signs of tissue hypoperfusion.
Interventions
The objective of this study was to assess the accuracy and clinical agreement between arterial glucose concentration and capillary or central venous measures. A sole set of tests per patient was obtained from all patients in about 5 minutes. Capilary strip, arterial strip, venous and arterial laboratory dosages were performed. Arterial and central venous lines were forcefully used for the samples collection. The catheters lumen was washed with 10mL distilled water, followed by aspiration of 5mL fluids to be disposed of before the collection. Arterial and venous glucose were performed in the Olympus Au640e device, hexochinase G-6-PDHA reagent. For strip determination of glycemia blood from finger pulp lanced with a 26G needle was used. The glucometer available at the institution was the Medisense – FreeStyle Optium® (Abbott Laboratories, USA).
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria were: age = 18 years; presence of arterial and central venous line; intensive glycemic control according to the institution’s protocol and a signed informed consent.
Exclusion criteria
Patients either with diabetes or hemodynamic instability not exclusively related to sepsis were excluded