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i-STAT and the CVOR: Keeping All Hands on Deck
In the CVOR, everyone has a role to play. The critical nature of the operating room requires every medical professional involved to be precise and in sync. The team must function as one to successfully execute delicate operations since time is of the essence. So what happens when both time and manpower are compromised?
Unfortunately, these limitations have become commonplace to most CVORs. The central lab performs the essential blood gases tests, beyond the confines of the operating room. Because of this, someone has to drop what he/she is doing and rush out to the central lab for these tests. Having to leave the CVOR in itself already affects the flow and speed of the operation considerably. For operations that requires the utmost attention and care, losing necessary minutes and personnel is too much of a risk.
No Room for Delays
Anesthetic assistants spend up to about 20% of the procedure out of the room to run blood gases. This then equates to a staggering 40 minutes out of a four-hour operation. Operations most definitely cannot afford that kind of loss. A number of factors can contribute to these delays. Limitation in the number of devices could cause tests to pile up. The required analyzers could be unavailable due to maintenance or calibrations. Unavoidable human faults such as distractions or multi-tasking (such as preparing for the next procedure) could also influence the time spent on getting results.
Missing assistants can have grave repercussions in the performed procedure. Anesthesiologists have to rely on other junior assistants to perform during critical moments. Morbidity and mortality increase in possibility because of disruptions during surgery and specific roles being delegated to less familiar team members. Communication failure due to not speaking to the right person greatly diminishes patient safety. An incomplete CVOR team can put the patient in additional and unnecessary danger.Â
Be There with i-STAT
With the i-STAT blood analyzer, the patients are significantly less subjected to these kinds of threats. Compact by nature, this device readily brings the laboratory right inside the lab. The time and energy usually spent on transporting samples could now be firstly dedicated to the patients and their immediate needs. Also, i-STAT’s 24/7 availability and zero maintenance and calibration requirements reduces the chances of sample pile-ups.Â
In critical scenarios, the CVOR must consequently possess enough knowledge about the patient’s current condition to make informed decisions. This requires fast and accurate tests right by the patient’s bedside. i-STAT’s ACT test, in particular, produces comparatively better reproducibility with its advanced electrochemical technology. With i-STAT’s broad cartridge selection, the CVOR team can certainly have instant access to the tests that they require. Below are the key cartridges that i-STAT can provide for CVOR. Each of the cartridges takes an average of 2 minutes to produce lab-quality results.Â
CHEM8+ Cartridge
Parameters:
Na
K
CI
iCa
TC02
Glu
BUN/Urea
Crea
Anion GAP
HCTÂ
HgbÂ
CG8+ Cartridge
Parameters:
Na
KÂ
iCa
Glu
Hct
Hgb
pH
PCO2
PO2
TCO2
HCO3
BE
sO2
EG7+ Cartridge
Parameters:
Na
K
iCa
Hct
Hgb
pH
PCO2
PO2
TCO2
HCO3
BE
sO2
CG4+ Cartridge
Parameters:
Lactate
pH
PCO2
PO2
TCO2
HCO3
BE
sO2
G3+ Cartridge
Parameters:
pH
PCO2
PO2
TCO2
HCO3
BE
sO2
EC4+ Cartridge
Parameters:
Na
Glu
Hct
Hgb
K