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[In Process Citation].
[In Process Citation].
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- Eriksson, Mats (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- Strandberg, Gunnar (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- Lipcsey, Miklós (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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visa fler...
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- Larsson, Anders (författare)
- Uppsala universitet,Biokemisk struktur och funktion
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visa färre...
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(creator_code:org_t)
- 2015
- 2015
- Svenska.
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 112
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- Intraosseous administration of fluids and drugs is valuable when vascular access is difficult to achieve. Intraosseous needles are useful tools in such cases. Sampling of aspirates through such needles have raised concern regarding the possibility that aspirated bone marrow particles could damage analysis equipment. We recommend that point-of-care equipment should be used as far as possible when intraosseous aspirates are analyzed. This is especially relevant when whole blood (i.e. blood gases) is analyzed.When centrifuged, possibly occurring bone marrow particles are deposited in the pellet, whereas the supernatant essentially corresponds to plasma. We have successfully analyzed creatinine, mor-phine and troponin in such samples. Leucocytes and platelets, which are formed in the bone marrow, may cause falsely elevated values when intraosseous aspirates are analyzed. The risk of hemolysis, and its potential effect on certain analyses, should be considered.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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