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
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