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If vascular access is inaccessible in critically ill patients then it is reasonable to use intraosseous blood for Hb & general biochemistry analytes which should be comparable to peripheral blood. I would have centrifuged the sample and analysed the supernatant as any routine blood sample but append a comment that this is and intraosseous sample. Best regards, Mohammad From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of MAGHSOODI, Negar (SURREY AND SUSSEX HEALTHCARE NHS TRUST) Sent: 29 March 2019 19:47 To: [log in to unmask] Subject: Re: Intraosseous samples Hi All Has anybody been asked for processing intraosseous samples from critically ill patients? We have had received such requests a couple of times in our lab and each time refused to process them. ED Consultant is now chasing it with me. How can I help them? Kind regards Dr Negar Maghsoodi Consultant Chemical Pathologist Surrey and Sussex Health Care NHS Trust ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in relation to its contents. To do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland. NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and other accredited email services. For more information and to find out how you can switch, https://portal.nhs.net/help/joiningnhsmail ------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 who posts and they are solely responsible for all message content. The ACB does not monitor posts. 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/ --------------------------------------------------------------------------------------------------------------------- Virus Scanned and Verified by St Helens and Knowsley Health Informatics --------------------------------------------------------------------------------------------------------------------- DISCLAIMER: This email may contain confidential and/or proprietary information some or all of which may be legally privileged. It is for the intended recipient only. If any addressing or transmission error has misdirected this email, please notify the author by replying to this e mail and destroy any copies. If you are not the intended recipient you must not use, disclose, distribute, copy, print, or rely on this email. The information contained in this email may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this email AND YOUR REPLY cannot be guaranteed. ------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 who posts and they are solely responsible for all message content. The ACB does not monitor posts. 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/