We have POC bloodgas analysers of Siemens available for use inside the patient room (Urgent admission unit and IC unit). After use, the cassettes containing all the parts that were iin contact with patient blood are dicarded and the rest of the machine can be desinfected with hypochlorite.
Bart Ballieux
B.E.P.B. Ballieux, PhD, Clinical Biochemist
Leiden University Medical Centre
The Netherlands
email: [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 Cleary Sarah (NHS LANARKSHIRE)
Sent: vrijdag 31 oktober 2014 15:10
To: [log in to unmask]
Subject: Re: Blood Gases and Ebola
Hi,
We have taken the view that there is a risk of blood splashing onto the operator during injection into the analyser and is therefore a high risk procedure. Our clinicians are happy with this, as the procedure of taking an arterial sample is also high risk, so everyone is keen to avoid. I understand the Royal College of Anaesthetics have produced a statement that any '?Ebola' patients should not be admitted to ITU as by the time they have multi-organ involvement they are unlikely to survive, so our clincians took gases into this category. Of course, a patient with a primary respiratory disorder who had been in an endemic country would raise many further questions....
Our default position is gases should not be analysed either in the lab or POCT locations, and this is stated in our hospital infection control manual, and the laboratory SOP.
Best wishes,
Sarah
Sarah Cleary
Consultant Clinical Scientist
NHS Lanarkshire
________________________________________
From: Clinical biochemistry discussion list [[log in to unmask]] On Behalf Of Webster Craig [[log in to unmask]]
Sent: 31 October 2014 13:39
To: [log in to unmask]
Subject: Re: Blood Gases and Ebola
I need to throw away my computer now, youšve made me load up a daily mail article, its contaminated !
On 31/10/2014 13:32, "Reynolds Tim (RJF) BHFT"
<[log in to unmask]> wrote:
>If your patient does prove to have ebola, I doubt that the cost of a
>new blood gas analyser will be considered too much:
>
>http://www.dailymail.co.uk/news/article-2800282/german-clinic-scraps-tw
>o
>-machines-worth-1m-suspected-ebola-patient-threw-didn-t-deadly-virus.ht
>m
>l
>
>
>
>
>
>
>
>***********************************************************************
>*
>**************
>Prof. Tim Reynolds
>Consultant Chemical Pathologist / Clinical Director - Diagnostics / R&D
>Lead, Burton Hospitals NHS Foundation Trust work tel: 01283 511511 ext
>4035 work fax: 01283 593064 work email: [log in to unmask]
>work URL: www.burtonhospitals.nhs.uk This e-mail, and any files
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>[Picture of tree not available] Please consider the environment before
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>-----Original Message-----
>From: Clinical biochemistry discussion list
>[mailto:[log in to unmask]] On Behalf Of Gray Yusuf
>(DERBY HOSPITALS NHS FOUNDATION TRUST)
>Sent: 31 October 2014 12:59 PM
>To: [log in to unmask]
>Subject: Re: Blood Gases and Ebola
>
>---
>This message was sent from an email address external to NHSmail but
>gives the appearance of being from an NHSmail (@nhs.net) address. The
>recipient should verify the sender and content before acting upon
>information contained within.
>
>The identified sender is [log in to unmask]
>---
>Hi Martin,
>
>The guidance on analysers suggests that most main chemistry analysers
>are "closed".
>
>However, as one of the team who maintain these analysers I am aware of
>the amount of serum which requires cleaning from surfaces within the
>"closed" units. Not sure that I want to be in the position of
>decontaminating a very complex analyser when one suspected patient
>becomes a confirmed case. POCT devices are by far the best option and
>are recommended by the American Microbiologists Association.
>
>Regards,
>
>Yusuf
>
>-----Original Message-----
>From: Clinical biochemistry discussion list
>[mailto:[log in to unmask]] On Behalf Of Myers Martin
>(LTHTR)
>Sent: 31 October 2014 11:37
>To: [log in to unmask]
>Subject: Re: Blood Gases and Ebola
>
>Craig,
>
>The UK guidance is that "high risk" and "confirmed" ebola cases only
>have limited testing, and blood gases are not on the list. The limited
>testing in these two categories are:
>Urgent malaria investigation
>Full blood count, U&Es, LFTs Clotting screen, CRP glucose and blood
>cultures
>
>There is guidance about what is a closed system and how it can be
>cleaned, but I suspect that the debate has not finished yet.
>
>https://www.gov.uk/government/uploads/system/uploads/attachment_data/fi
>l e/354640/VHF_guidance_document_updated_links.pdf
>
>https://www.gov.uk/government/uploads/system/uploads/attachment_data/fi
>l e/365599/Summary_guidance_for_Acute_Trust_Staff_211014.pdf
>
>Martin
>
>
>
>-----Original Message-----
>From: Clinical biochemistry discussion list
>[mailto:[log in to unmask]] On Behalf Of Webster Craig
>Sent: 31 October 2014 09:54
>To: [log in to unmask]
>Subject: Blood Gases and Ebola
>
>Hi,
>
>Anyone got any views on blood gas machines and whether they constitute
>a closed system if blood gases are required on an ? Ebola patient. Any
>guidance from blood gas machines been produced?
>
>Cheers
>Craig
>
>
>Craig Webster
>Clinical Service Lead, Blood Sciences
>Consultant Clinical Scientist
>Birmingham Heartlands Hospital
>Birmingham
>B95SS
>
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