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Isn't there some 'controversy' about how good these analysers are at measuring bilrubin ?? And its OK if you are also measuring blood gases/ electrolytes at the same time, but not really for just a one-off bilirubin on a 'well' baby. Peter Peter Howell Head Biomedical Scientist Medical Biochemistry Department Wrexham Maelor Hospital Wrexham > -----Original Message----- > From: Fry, John [SMTP:[log in to unmask]] > Sent: 15 November 2002 13:16 > To: [log in to unmask] > Subject: Re: Bilirubinometers > > One possible answer is to purchase one of the Radiometer 7 series blood gas > analysers which incorporates an analytical uniit for bilirubin assays on the > whole blood sample. Centrifugation of capillary samples is then a part of > history. > > John Fry > Worthing Hospital > > > ---------- > > From: Evans, Francis - RCHT[SMTP:[log in to unmask]] > > Reply To: ACB Point of Care Testing List > > Sent: 15 November 2002 11:58 > > To: [log in to unmask] > > Subject: Re: Bilirubinometers > > > > I have been concerned for 'ages' about the infection risk involved in > > spinning capillaries for bilirubins in our SCBU laboratory. We do have a > > separate lab to contain the gas analyser and bilirubinometer but the > > aerosol > > problem when capillaries leak and eject their contents is of considerable > > concern. I have not been able to get any manufacturer to supply a > > properly > > sealed rotor to contain spills. > > > > I would also be interested to hear other views on suitable alternatives. > > > > Francis Evans > > Chief BMS > > Clinical Chemistry > > Royal Cornwall Hospitals Trust > > Truro TR1 3LJ > > > > > > > > -----Original Message----- > > From: Paul Eldridge [mailto:[log in to unmask]] > > Sent: Friday, November 15, 2002 10:05 > > To: [log in to unmask] > > Subject: Bilrubinometers > > > > > > I have sent this to both the POCT list and ACB clin chem list. Apologies > > to those who get it twice. > > Two problems/questions: > > 1. Infection in ward areas by centrifuges. > > It has been reported by a new paediatric doctor here that > > bilirubinometers have been removed from wards in 2 SW London hospitals > > because of infection risks from the centrifuges used to spin down the > > capillary tubes. > > Have others experienced this problem? > > Is there a centrifuge available that can be sealed? > > Is there any good experience with non invasive bilirubin measurements? > > > > 2. We recently replaced our TIME ward bilirubinometer with the Digital > > Analogue Systems NEO BIL instrument distributed by Schuco in the UK. It > > very simple to operate by the ward staff but cannot be calibrated by the > > lab. It has a non linear response noted by positive bias below 300 and > > negative above this level. This has been shown by studies on EQAS > > samples and our dilution studies. > > Do others have the problem and how do you overcome it ? > > > > Many thanks in advance. > > > > > > Dr Paul H Eldridge > > Clinical Biochemist > > University Hospital Lewisham > > London SE13 6LH > > UK > > Phone: (44) 020 8333 3255 > > Fax: (44) 020 8690 8891 > > > > > > [log in to unmask] > > > > ********************************************************************** > > DISCLAIMER: > > > > Any opinions expressed in this email are those of the individual and > > not necessarily the Trust. This email and any files transmitted with > > it are confidential and intended solely for the use of the individual > > or entity to whom they are addressed. Any unauthorised disclosure of > > the information contained in this e-mail is strictly prohibited. > > > > The contents of this email may contain software viruses which could > > damage your own computer system. 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