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Clinics in laboratory medicine2011; 31(1); 125-137; doi: 10.1016/j.cll.2010.11.001

The equine neonatal intensive care laboratory: point-of-care testing.

Abstract: Rapid evaluation and intervention is a requirement and a characteristic of patient management in neonatal intensive care units, and this applies for equine neonates also. Appropriate interventions are based on solid knowledge of age, maturity, and species-specific differences in reference ranges. Point-of-care (POC) testing devices speedup decision making regarding treatments and interventions. However, there are potential limitations of these devices when applied to age groups and species beyond those they were specifically developed for. This article discusses the age-specific differences in the reference ranges and the potential limitations of POC devices currently used, which may affect delivery of care.
Publication Date: 2011-02-08 PubMed ID: 21295726DOI: 10.1016/j.cll.2010.11.001Google Scholar: Lookup
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Summary

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The research article explores the use of point-of-care testing (POC) devices for swift patient management in equine neonatal intensive care units, but also highlights the potential disadvantages when such devices are used outside of their intended age and species scope.

Understanding the Importance of Rapid Evaluation and Intervention

  • The research paper underscores the critical need for rapid assessment and action in treating patients in neonatal intensive care units, including in equine (horse) neonates.
  • The effectiveness of these prompt interventions is based on reliable understanding of age, maturation, and species-specific variances in health reference ranges.

Role of Point-of-Care (POC) Testing Devices

  • Point-of-care (POC) testing devices accelerate decision-making concerning treatments and interventions, thus boosting the ability to respond quickly in critical care settings.
  • The devices have typically been designed for specific target age groups and species.

Potential Limitations of POC Devices

  • While POC devices are extremely useful, the research indicates that using these devices beyond the specific demographic or species they were created for can come with challenges.
  • Such limitations might potentially impact the delivery and quality of care offered.
  • The authors further dive into these possible limitations throughout the article, especially in relation to the reference ranges which could vary with age and species.

Significance of Understanding Age-Specific Differences

  • The paper discusses the importance of understanding age-specific differences in reference ranges, as this knowledge could significantly affect the effectiveness of the POC devices.
  • Lack of such understanding might lead to incorrect use of POC testing devices, thus potentially compromising patient care.

The paper serves as a comprehensive guide for effective and appropriate use of POC testing devices in neonatal intensive care units, keeping in mind important considerations such as animal species and age. The paper highlights the necessity for further research and development to address the identified limitations and enhance the efficacy of these devices across a wider range of species and age groups.

Cite This Article

APA
Wilkins PA. (2011). The equine neonatal intensive care laboratory: point-of-care testing. Clin Lab Med, 31(1), 125-137. https://doi.org/10.1016/j.cll.2010.11.001

Publication

ISSN: 1557-9832
NlmUniqueID: 8100174
Country: United States
Language: English
Volume: 31
Issue: 1
Pages: 125-137

Researcher Affiliations

Wilkins, Pamela A
  • Equine Medicine and Surgery, Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Champaign-Urbana, 61802, USA. pawilkin@ad.uiuc.edu

MeSH Terms

  • Age Factors
  • Animals
  • Animals, Newborn
  • Blood Gas Analysis / veterinary
  • Blood Glucose
  • Hematologic Tests / methods
  • Hematologic Tests / veterinary
  • Horse Diseases / diagnosis
  • Horse Diseases / therapy
  • Horses
  • Immunoglobulin G / blood
  • Lactic Acid / blood
  • Species Specificity
  • Veterinary Medicine / methods
  • Veterinary Medicine / trends

Citations

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