Dear All,
We have had no problems at all with the scanning software and I consider it to be much more accurate than drawing tangents and using a ruler to meaure peak heights etc. We always look at the scans the following morning to be sure that all is ok.
Peter
----- Original Message -----
From: Clinical biochemistry discussion list <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Sent: Wed Jan 20 17:53:21 2010
Subject: Re: Xanthochromia Screening
We have had one or two problems with our automated software. In
particular, it doesn't always recognise the oxyhaemoglobin peak and so
will report the comment as if there was none present. Staff training
has greatly improved recognition of the problems, but there is clearly a
danger in relying too heavily on automated interpretation - the analyst
MUST visually check and understand the scan produced.
Sarah Hatch DipRCPath
Senior Clinical Biochemist
Department of Clinical Biochemistry and Metabolic Medicine
Royal Liverpool University Hospital
0151 706 4467
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Sharpe, Peter
Sent: Wednesday 20 January 2010 17:40
To: [log in to unmask]
Subject: Re: Xanthochromia Screening
Dear All,
We also perform these 24/7 using interpretative software; performed by
on-call BMS and clear negative results authorised and reported. Only the
borderline and complex ones are brought to the on-call Consultants
attention.
Previously we had to come in and look at each of them or have them
faxed/sent electronically to our homes.
One of the best investments our lab made!
Best wishes
Peter
Dr Peter Sharpe
Consultant Chemical Pathologist
Director of Research and Development
Southern Health & Social Care Trust
Ext 2657
Tel 028 38612657
Fax 028 38334582
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Hogan, Tim
Sent: 20 January 2010 17:34
To: [log in to unmask]
Subject: Re: Xanthochromia Screening
The use of a modern spectrophotmeter linked to a PC with interpretive
software such as the Uvikon XS from Northstar Scientific enables
analysis to be performed in under 10 mins. So given the equipment
resources there are no practical reasons that they cannot be offered
24/7, (and even I can do them, as long as I follow the SOP!)
Tim.
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Graham Horsman
Sent: 20 January 2010 17:28
To: [log in to unmask]
Subject: Re: Xanthochromia Screening
Another question:
The need to release beds I expect will put pressure on provision of a
daily service. Regarding 24/7 my experience has been that patients
aren't transferred immediately anyway, even when the diagnosis has been
made out of hours because of, for example, bed availability. For these
patients though, the cerebral circulation can be protected with
nimodipine - but given the cautions with cerebral oedema and raised
intracranial pressure is this something that is given outside specialist
units (and not excepting that it is a difficult drug to administer).
Graham
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Holbrook, Ian B
Sent: 20 January 2010 15:55
To: [log in to unmask]
Subject: Re: Xanthochromia Screening
David
5 years ago an audit of UK labs showed that more than half offered a
24/7 service (Ann Clin Biochem 2007, 44, 443-448).
It does depend on local circumstances. Hospitals that would have to
transfer patients to neurosurgery units often offer a 24/7 service.
Those with these units in their vicinity may not.
At York we do offer a 24/7 service and have the facility for the on-call
consultant to look at the scan remotely on a PC. Hope this helps.
Kind regards
Ian
Ian Holbrook
Department of Clinical Biochemistry
York Hospital
Wigginton Road
York
YO31 8HE
01904 725786
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of David Burgess
Sent: 20 January 2010 15:33
To: [log in to unmask]
Subject: Xanthochromia Screening
May I enquire of subscribers if they process xanthochromia screens at
night?
Are there guidelines on this question?
Regards,
David
------ACB discussion List Information-------- This is an open discussion
list for the academic and clinical community working in clinical
biochemistry.
Please note, archived messages are public and can be viewed via the
internet. Views expressed are those of the individual and they are
responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
------ACB discussion List Information-------- This is an open discussion
list for the academic and clinical community working in clinical
biochemistry.
Please note, archived messages are public and can be viewed via the
internet. Views expressed are those of the individual and they are
responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
This e-mail and any files transmitted with it are confidential and
solely for the use of the intended recipient. If you have received this
e-mail in error you should not disseminate, distribute or copy it.
Please notify the sender immediately and delete this e-mail from your
system.
------ACB discussion List Information-------- This is an open discussion
list for the academic and clinical community working in clinical
biochemistry.
Please note, archived messages are public and can be viewed via the
internet. Views expressed are those of the individual and they are
responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
========================================================================
====
This email has been processed by the Basildon and Thurrock University
Hospitals NHS Foundation Trust email gateway.
Any executable files or known viruses have been removed.
If this message has been sent to you in error please securely discard
the email, notify the sender and do not open any attachments or act on
the contents.
This email may be subject to the Data Protection Act 1998, the Freedom
of Information Act 2000 and other relevant acts and regulations. Unless
the contents are clinically confidential or otherwise exempt they may be
subject to disclosure.
We do not accept or send emails larger than 10MB.
For more information contact the IT Department, Basildon and Thurrock
University Hospitals NHS Foundation Trust on +44 1268 82 19 19
========================================================================
====
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community
working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the
internet. Views expressed are those of the individual and they are
responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
This email is confidential and intended solely for the use of the
individual(s) to whom it is addressed. Any views or opinions presented
are solely those of the author and do not necessarily represent those of
Southern Health and Social Care Trust. If you are not the intended
recipient, be advised that you have received this email in error and
that any use, dissemination, forwarding, printing, or copying of this
email is strictly prohibited. If you have received this email in error
please notify the sender.
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community
working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the
internet. Views expressed are those of the individual and they are
responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
This email is confidential and intended solely for the use of the individual(s) to whom it is addressed. Any views or opinions presented are solely those of the author and do not necessarily represent those of Southern Health and Social Care Trust. If you are not the intended recipient, be advised that you have received this email in error and that any use, dissemination, forwarding, printing, or copying of this email is strictly prohibited. If you have received this email in error please notify the sender.
|
