DerAnaesthesist.90480003.ger.abstr-passage-0
abstract
Nach erfolgreicher Zentralisierung der Laboranalytik seit mehr als 30 Jahren , fuehren Fortschritte bei Biosensoren , Mikroprozessoren , Messung in unverduenntem Vollblut und die Verkleinerung von Laboranalysen heute wieder immer mehr zu einer neuerlichen Re-Dezentralisierung in der Labormedizin . Das Point-Of-Care-Testing ( POCT ) wird nahe dem Patienten ausserhalb von zentralen oder dezentralen Laboratorien durchgefuehrt . Die theoretischen Vorteile des POCT sind schnellere Turn-Around-Times ( TAT ) , schnellere medizinische Entscheidungen , Vermeidung von Probenidentifizierungs- und Probentransportproblemen sowie die Notwendigkeit von nur kleinen Probenmengen . Diese Vorteile werden zwar oft hervorgehoben , gehen jedoch nicht mit einem klar erkennbaren klinischen Nutzen einher . Die Nachteile des POCT wie unsachgemaesse Handhabung und/ oder Wartung der Analysengeraete durch das ungeschulte Stationspersonal , mangelnde oder fehlende Kalibration und/oder Qualitaetskontrolle , Kosten durch Vorhaltung mehrerer Geraete und teurerer Reagenzien , insuffiziente Dokumentation und schwierige Vergleichbarkeit zwischen den POCT-Ergebnissen und den Routinelaborergebnissen , sind ebenfalls augenscheinlich . Nach Meinung der Autoren sollte die Entscheidung zur Etablierung eines POCT nur in engster Kooperation zwischen Klinikern und Labormedizinern erfolgen , um Sinnhaftigkeit und hohe Qualitaet der Analysen zu gewaehrleisten . Unter Beruecksichtigung der lokalen Situation ( 24 h-Zentrallabor , etc. ) sollte sich das Parameterspektrum des POCT streng auf vitale Funktionen beschraenken . Die dafuer notwendigen Analyte sollten sein : Haemoglobin oder Haematokrit , Aktivierte Vollblut-Gerinnungszeit , Blutgase , Natrium , Kalium , ionisiertes Kalzium , Glukose , Ammoniak und Laktat .
DerAnaesthesist.90480003.ger.abstr-s1-r1-t3.1-t1.1
method_of
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s1-r2-t3.1-t1.1
uses
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s1-r3-t1.1-t2.1
isa
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s1-r4-t2.1-t1.1
issue_in
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s2-r1-t1.1-t2.1
uses
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s5-r1-t2.1-t1.1
isa
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s5-r2-t2.1-t6.1
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s5-r3-t2.1-t5.1
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s5-r4-t2.1-t6.1
measures
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s5-r5-t2.1-t5.1
measures
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r1-t3.1-t7.1
produces
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-r2-t1.1-t7.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-r3-t7.1-t5.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r4-t3.2-t5.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r5-t2.1-t5.1
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r6-t7.1-t3.2
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-r7-t6.1-t1.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r8-t5.1-t8.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-r9-t3.1-t6.1
produces
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-r10-t8.1-t7.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-r11-t1.1-t5.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r12-t1.1-t3.2
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-r13-t5.1-t6.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-r14-t8.1-t5.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r15-t8.1-t3.2
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-r16-t7.1-t1.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r17-t3.2-t1.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r18-t3.1-t5.1
produces
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r19-t6.1-t8.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-r20-t8.1-t1.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r21-t3.2-t1.1
consists_of
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r22-t7.1-t8.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-r23-t3.2-t8.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-r24-t1.1-t8.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-r25-t3.2-t6.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-r26-t7.1-t6.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-r27-t1.1-t6.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-r28-t2.1-t1.1
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r29-t2.1-t8.1
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-r30-t5.1-t7.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-r31-t8.1-t6.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-r32-t2.1-t3.2
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-r34-t5.1-t3.2
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-r36-t2.1-t7.1
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-r37-t6.1-t7.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-r38-t3.1-t1.1
produces
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r39-t3.1-t8.1
produces
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t8
DerAnaesthesist.90480003.ger.abstr-s8-r40-t3.2-t7.1
consists_of
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t7
DerAnaesthesist.90480003.ger.abstr-s8-r42-t6.1-t5.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-r43-t2.1-t6.1
analyzes
DerAnaesthesist.90480003.ger.abstr-s8-t2
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-r44-t6.1-t3.2
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t6
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-r45-t5.1-t1.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t5
DerAnaesthesist.90480003.ger.abstr-s8-t1
DerAnaesthesist.90480003.ger.abstr-s8-r46-t3.2-t7.1
interacts_with
DerAnaesthesist.90480003.ger.abstr-s8-t3
DerAnaesthesist.90480003.ger.abstr-s8-t7