Zusammenfassung
In der patientennahen Sofortdiagnostik besitzt POCT im Bereich der Hämatologie einen wichtigen klinischen Stellenwert. Im Rahmen der Blutgasanalytik (BGA) bietet die isolierte Bestimmung des HK und Hb-Wertes eine adäquate Patientenüberwachung und ist somit ein fester Bestandteil während Operationen und auf den Intensivstationen. Die gesamte Bestimmung des Blutbilds ohne oder mit Differenzierung der Leukozyten (kleines bzw. großes Blutbild) ist hingegen überwiegend Aufgabe der Zentrallaboratorien von Krankenhäusern oder labormedizinischer Arztpraxen und wird dort in der Regel ohne POCT-Einsatz an vollautomatisierten Hämatologie-Analysatoren durchgeführt. Die Notwendigkeit einer POCT-Diagnostik in Arztpraxen und Ambulanzen im Allgemeinen ist nur in wenigen Situationen sinnvoll.
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Literatur
Agarwal R, Heinz T (2001) Bedside hemoglobinometry in hemodialysis patients: lessons from point-of-care testing. ASAIO J 47: 240–243
Alex CP, Manto JC, Garland JS (1998) Clinical utility of a bedside blood analyzer for measuring blood chemistry values in neonates. J Perinatol 18: 45–48
Benjamin JT, Baisden CR (2002) Advances in the physician office laboratory. In: Kost GJ (ed) Principles and practice of point-of-care Testing. Lippincott Williams & Wilkins, Philadelphia, pp 391–406
Briggs C, Guthrie D, Hyde K, Mackie I, Parker N, Popek M et al. British Committee for Standards in Haematology (2008) Guidelines for point-of-care testing: haematology. Br J Haematol 142: 904–15
Brohi K, Cohen MJ, Davenport RA (2007) Acute coagulopathy of trauma: mechanism, identification and effect. Curr Opin Crit Care 13: 680–5
Despotis GJ, Joist JH, Goodnough LT (1997) Monitoring of hemostasis in cardiac surgical patients: impact of point-of-care testing on blood loss and transfusion outcomes. Clin Chem 43: 1684–1696
Despotis GJ, Saleem R, Bigham M, Barnes P (2000) Clinical evaluation of a new, point-of-care hemocytometer. Crit Care Med 28: 1185–1190
Duguid JKM, Newland AC (2010) Point-of-care testing in hematology. In: Price CP, St John A, Kricka LJ (eds) Point-of care testing, 3rd ed. AACC Press, Washington, pp 535–543
Gehring H, Hornberger C, Dibbelt L et al. (2002) Accuracy of point-of-care-testing (POCT) for determining haemoglobin concentrations. Acta Anaesthesiol Scand 46: 980–986
Hermansen MC (2001) Nucleated red blood cells in the fetus and newborn. Arch Dis Child Fetal Neonatal Ed 84: F211–F215
Holloway PAH (2002) Point-of-care testing in intensive care. In: Kost GJ (ed) Principles and practice of point-of-care Testing. Lippincott Williams & Wilkins, Philadelphia, pp 133–156
Lewis SM, Osei-Bimpong A, Bradshaw A (2004) Measurement of haemoglobin as a screening test in general practice. J Med Screen 11: 103–105
McNulty SE, Torjman M, Grodecki W, Marr A, Schieren H (1995) A comparison of four bedside methods of hemoglobin assessment during cardiac surgery. Anesth Analg 81: 1197–1202
Weiss M, Dullenkopf A, Moehrlen U (2004) Evaluation of an improved blood-conserving POCT sampling system. Clin Biochem 37: 977–984
Widness JA, Kulhavy JC, Johnson KJ et al. (2000) Clinical performance of an in-line point-of-care monitor in neonates. Pediatrics 106: 497–504
Xanthou M (1970) Leucocyte blood picture in healthy full-term and premature babies during neonatal period. Archives of Disease in Childhood 45: 242–249
Zandecki M, Genevieve F, Gerard J, Godon A (2012) Spurious counts and spurious results on hematology analyzers: white blood cells, red blood cells, hemoglobin, red cell indices, and reticulocytes. In: Kottke-Marchant K, Davis B (eds) Laboratory Hematology Practice. John Wiley & Sons, pp 79–95
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Kixmüller, D., Gässler, N., Junker, R. (2017). Hämatologische Diagnostik. In: Luppa, P., Junker, R. (eds) POCT - Patientennahe Labordiagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54196-8_16
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