We insisted that our ITU/HDU use Hemocues for their glucose measurements. Although more expensive ( about 63p a go ), we used the possible interferences with strip technology ( some of which you have already mentioned ) as a vital reason not to use glucose meters.
Just out of interest, the Hospital as a whole uses Advantage II sensors, and ITU have a Bayer 865 blood gas analyser but minus glucose and lactate !
We also have Hemocues on SCBU/Neonatal ITU, Renal, and post-natal wards.
Peter
Peter Howell
Wrexham Maelor Hospital
Wrexham
> -----Original Message-----
> From: Dr S Walker [SMTP:[log in to unmask]]
> Sent: 04 December 2002 17:31
> To: [log in to unmask]
> Subject: Handheld glucose meters on ICUs etc
>
> Our ICU currently do glucoses via the lab or on their own Radiometer Blood Gas Analyser. They want to use glucose meters for patients who are stable and waiting to leave ICU (eg bed-blocked). Are many other units allowing the use of meters on ICUs and do any have a writen policy of exclusion to prevent inappropriate use? We use Roche Advantage meters at present. My worries are very sick patients/colloids/very abnormal haematocrits etc. Do the same problems arise in Theatres also? Does ease of use lead to (unintentional) misuse? Dr Sue Walker, Salisbury, UK. [log in to unmask]
>
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