Biochemical Dysfunction
Conditions
Keywords
intensive care, capillary sampling, veinous sampling, natremia, kalaemia, Chloremia
Brief summary
The main objectives are to evaluate the concordance between the results of natremia, kalaemia and blood sugar levels obtained 1) by capillary puncture, analysed on a delocalized resuscitation machine GEM 4000 (Werfen) and 2) by venous sampling, analysed on the machine of the standard biology laboratory Gen. 2 COBAS (Roche).
Detailed description
The completion of a biological test suits a succession of codified steps: * Medical prescription * The pre-analytic phase (preparation of the material, completion of the sample, transport of the sample and preparation of it) * The analytical phase * The post-analytic phase (validation of the result obtained and the dissemination of it to the prescriber, usually the clinician, who is then able to make a medical decision) This succession of steps involves, as part of a classical journey, many stakeholders (doctors, nurses, couriers, laboratory technicians, medical biologists) in different places. Outsourced biology (care test point, POCT) refers to the analysis of biological samples outside the central laboratory. The sample is most often carried out, transported and analyzed by the same person on a machine near the patient or in the service and therefore in the absence of direct control of a specialized laboratory technician or a medical biologist, who remains however responsible for good practice, maintenance of the device and validity of the results. The completion of biological examinations is regulated by differents Articles. The outsourced biology (ADBD) sampling analysis can be carried out in the hospital, in most departments, and also outside the hospital (pharmacies, city offices or even in the patient's own home). On portable devices, usually highly specialized, and these fixed allowing a greater diversity of tests. Its development is booming with annual growth estimated in 2006 at 15.5% in the United States.
Interventions
None listed
Sponsors
Fondation Ophtalmologique Adolphe de Rothschild
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient over the age of 18 * Affiliate or beneficiary of a social security scheme * Express consent to participate in the study
Exclusion criteria
* Patient benefiting from a legal protection measure * Patient not communicating * Pregnant or breastfeeding woman * Peripheral edema (taking more than 5 Kg since entering the service) * Patient in shock (mean arterial pressure \< 65 mmHg or continuous catecholamine administration)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| concordance between capillary and veinous sampling for natremia result | 1 hour | The concordance between the biological results obtained by capillary puncture analysed on the GEM 4000 resuscitation machine (Werfen), and the biological results by venous sampling analysed in the standard biology laboratory on the Gen. 2 COBAS machine (Roche) for natremia |
| concordance between capillary and veinous sampling for kalemia result | 1 hour | The concordance between the biological results obtained by capillary puncture analysed on the GEM 4000 resuscitation machine (Werfen), and the biological results by venous sampling analysed in the standard biology laboratory on the Gen. 2 COBAS machine (Roche) for kalemia |
| concordance between capillary and veinous sampling for chloremiaresult | 1 hour | The concordance between the biological results obtained by capillary puncture analysed on the GEM 4000 resuscitation machine (Werfen), and the biological results by venous sampling analysed in the standard biology laboratory on the Gen. 2 COBAS machine (Roche) for chloremia |
Countries
France
Outcome results
None listed