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I would be reluctant to use the term "cave in", but the gadolinium argument was the straw that broke this camels back.  We have been reporting eGFR on ALL U&Es for over 6 months.
 
Martin
Lancashire Teaching Hospitals
 
 
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]]On Behalf Of Marks Eileen (RQ6) RLBUHT
Sent: 19 November 2007 16:12
To: [log in to unmask]
Subject: Re: eGFR
 
Dear All
We are under pressure to provide eGFR automatically on all inpatient U&E samples to facilitate eGFR requesting prior to gadolinium MR scans.  We (reluctantly) already provide automatic eGFR on all GP U&E samples but eGFR must be specifically requested on all non-GP samples.
Today I have been informed by our renal physicians that the majority of hospitals now do automatic eGFRs on all U&E samples and we are out of step with the rest of the world!  Have most labs caved in on automatic eGFR?
 
Eileen Marks
 
Dr Eileen Marks
Clinical Director
Department of Clinical Biochemistry and Metabolic Medicine
Royal Liverpool University Hospital
Prescot St
Liverpool
L7 8XP
Telephone 0151 7064304
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-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]]On Behalf Of Mainwaring-Burton Richard (RGZ)
Sent: Wednesday 14 November 2007 17:17
To: [log in to unmask]
Subject: Re: NPT eGFR and creatinine measurements
Spotchem from Menarini also does creat
 
with best wishes 
Richard 
Richard Mainwaring-Burton 
Consultant Biochemist 
Queen Mary's Hospital 
Sidcup, Kent 
020-8308-3084 
-----Original Message-----
From: David Gaze [mailto:[log in to unmask]] 
Sent: 14 November 2007 12:13
To: [log in to unmask]
Subject: Re: NPT eGFR and creatinine measurements
 
There is a NPT device for general chemistry panels (whole blood application but centrifugation inside device). It is called the Piccolo. 
 
David C Gaze
Cardiac Research Scientist
Chemical Pathology
Jenner Wing, Level 2
St George's Healthcare NHS Trust
London, SW17 0QT
Tel:       +44 (0)20 8725 5878
Fax:      +44 (0)20 8682 0744
Email:    <mailto:[log in to unmask]> [log in to unmask]
P Please consider the environment before printing this e-mail.
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Royle Chris
Sent: 12 November 2007 10:18
To: [log in to unmask]
Subject: NPT eGFR and creatinine measurements
Dear colleagues,
Our Imaging colleagues are tackling the issue of possible side effects of gadolinium injections, and need an eGFR measurement on patients coming for CMR scans. They tell us that other UK centres are using NPT (whole blood?) creatinine meters for measuring creatinine.
Has anyone experience of such devices?
Thanks,
Chris
 
 
Chris Royle
Service Manager,
Clinical Biochemistry and Haematology Departments,
Royal Brompton and Harefield NHS Trust,
Royal Brompton Hospital,
Sydney Street,
LONDON
SW3 6NP
phone:  + 44 (0)20 7351 8413
fax:      + 44 (0)20 7351 8416
e mail  <mailto:[log in to unmask]> [log in to unmask]




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