Evaluation of Two Methods of Rapid Blood-Glucose Monitoring by Unskilled Personnel during Surgery
| Autor: | B Adelhøj, Sten Madsbad, Dennis Richard Bigler, Jannik Hilsted |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Blood Glucose medicine.medical_specialty Intra operative medicine.medical_treatment Reference laboratory Glucose Oxidase Operating Room Technicians Reference Values Humans Medicine media_common.cataloged_instance Aged Reagent Strips media_common Blood glucose monitoring Laboratory methods Operating room technician Intraoperative Care medicine.diagnostic_test business.industry Insulin General Medicine Middle Aged Reflectivity Surgery Diabetes Mellitus Type 1 Anesthesiology and Pain Medicine Evaluation Studies as Topic Anesthesia Reference values business |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 28:649-651 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.1984.tb02138.x |
| Popis: | The accuracy of two rapid methods of blood-glucose monitoring without (Haemo-glucotest 1-44) and with a reflectance meter (Hypocount B) was compared using a laboratory method. The assessment was carried out by personnel with no previous experience in measuring blood glucose. Eighty-five percent of the 92 measurements obtained with the hypocount B were within +/- 20% of the laboratory glucose values. Using haemo-glucotest 1-44 strips, 74% of the readings were within +/- 20% of the reference laboratory values. For values below 5.5 mmol/l, there was a tendency for results to be too low, with 77% of the readings below laboratory values -20%. All situations with severe hypoglycaemia were detected with both strips. The study also demonstrates the ineffectiveness of s.c. insulin regimens during surgery. Only 47% of the measured blood glucose values were within the range of 5.5-10 mmol/l and two of ten patients had hypoglycaemia with values below 2.5 mmol/l. Therefore glucose monitoring during surgery in diabetics seems justified. This monitoring can be performed adequately with strips. |
| Databáze: | OpenAIRE |
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