Having donated all my copies of the Annals 1978 to 2000 to the ACB office as part of an office-clearance/pre-retirement-fit-of-benevolence, I am unable to access :
......Julian Barth's method of calculation (Ann Clin Biochem 1996; 33: 55-58) which uses lots of your own lab patient data to plot total calcium vs.albumin over the albumin range 20-55g/L, excluding patients with abnormal urea/creatinine/AST/alk phos/potassium. You end up with a pretty linear graph whose regression line is your adjustment formula.
Cited on the mailbase in October 2000
Can anyone please oblige with a scanned or .pdf version ?
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
South London Healthcare Trust
Queen Elizabeth Hospital, Woolwich
Princess Royal Hospital, Farnborough
Queen Mary's Hospital, Sidcup
020-8836-5724
mob: 07831-739876
From: Clinical biochemistry discussion list [mailto:[log in to unmask]]
On Behalf Of Jonathan Kay
Sent: 22 November 2012 12:33
To: [log in to unmask]
Subject: Re: Ionised calcium in ICU
What algorithm do you use to calculate "adjusted calcium"?
What method do you use to measure albumin?
How well do those two work together?
Jonathan
On 22 Nov 2012, at 12:29, Mohammad Al-Jubouri wrote:
Dear All,
We only measure total calcium reported as adjusted calcium on ICU patients and a significant number have low results. An ICU calcium replacement protocol
is instigated, however the calcium result remains low. Now ICU wants ionised calcium added to their blood gas machine for monitoring calcium status of their patients.
Any words of wisdom on the clinical usefulness of inoised calcium in this setting is welcome.
Many thanks
Mohammad
Dr. M A Al-Jubouri, MB ChB, MSc, FRCP Edin, FRCPath
Consultant Chemical Pathologist
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------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
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