Use of the HemoCue® near patient testing device to measure the concentration of haemoglobin in suction fluid at elective Caesarean section

Use of the HemoCue® near patient testing device to measure the concentration of haemoglobin in suction fluid at elective Caesarean section

Summary We have investigated the suitability of the HemoCue® photometer to measure the concentration of haemoglobin in suction fluid obtained at elective caesarean section in 30 women. Laboratory analysis was used as a gold standard against which values generated by the HemoCue were compared. We use...

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Bibliographic Details
Published in:Anaesthesia Vol. 63; no. 5; pp. 531 - 534
Main Authors: Gupta, A., Wrench, I. J., Feast, M. J., Alderson, J. D.
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Publishing Ltd 01-05-2008
Blackwell
Subjects:
Anesthesia
Anesthesia, Obstetrical - methods
Anesthesia, Spinal
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Loss, Surgical
Cesarean section
Cesarean Section - adverse effects
Female
Hemoglobin
Hemoglobinometry - instrumentation
Humans
Medical equipment
Medical sciences
Monitoring systems
Obstetrics
Photometry - instrumentation
Point-of-Care Systems
Pregnancy
Suction
Human
Anesthesia
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Summary:Summary We have investigated the suitability of the HemoCue® photometer to measure the concentration of haemoglobin in suction fluid obtained at elective caesarean section in 30 women. Laboratory analysis was used as a gold standard against which values generated by the HemoCue were compared. We used the method of Bland and Altman to analyse the data. The bias and the limits of agreement were −0.013 and −0.39 to 0.36 mg.dl−1 respectively, indicating a good level of agreement. Mean (SD) total blood loss calculated using these data, combined with the weight of the swabs, was consistently greater than clinical estimation: 768 (496) ml versus 506 (249) ml respectively (p < 0.001). We have found that the HemoCue near patient testing device may be used to estimate blood loss accurately in the suction fluid obtained at elective Caesarean section.
Bibliography:Presented in part at the Association of Anaesthetists of Great Britain & Ireland Annual Congress, Dublin: September 2007.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.2007.05400.x