Bedside cerebrospinal fluid glucose analysis

Slovis, Corey M.; Negus, R.; Amerson, S Michael; Kutner, Michael

doi:10.1016/s0196-0644(89)80455-x

Annals of Emergency Medicine

1989

DOI: 10.1016/s0196-0644(89)80455-x

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Bedside cerebrospinal fluid glucose analysis

Corey M. Slovis

R. Negus

S Michael Amerson

et al.

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Cited by 2 publications

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“…2 Various bedside tests have been described for confirming whether the fluid is CSF. 5 However, a strip that simply identifies presence or absence of glucose might be misleading if a low-glucose concentration is present in the epidural space. 3Y5 Simple 2-minute reagent strips for measuring glucose have been found to be both rapid and accurate when compared with laboratory values in identifying the presence of CSF glucose.…”

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confidence: 99%

Cerebrospinal Fluid Glucose Measurement at Point-of-Care

Thomas¹,

Halstead²,

Douglas³

et al. 2012

Point of Care: The Journal of Near-Patient Testing &Amp; Technology

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The ability to confirm that the fluid obtained during attempted spinal anesthesia after failed epidural anesthesia is cerebrospinal fluid (CSF) would be useful to the obstetric anesthesiologist. This study was designed to determine whether 3 point-of-care glucose devices (Precision Xtra [Abbott Point of Care], StatStrip Glucose Monitor [Nova Biomedical], and ACCU-CHEK Inform II [Roche Diagnostics]) would reliably measure glucose in CSF during routine spinal anesthesia for cesarean section. A sample of CSF was removed after dural puncture, and glucose was tested using all 3 devices at point-of-care. Results were compared with laboratory CSF glucose measurement (Vitros instruments [Ortho Clinical Diagnostics]). Ease of use of the 3 glucose monitors in the operating room setting and the relationship between blood and CSF glucose levels were also examined. Thirty women were studied. With one exception, blood glucose levels were normal. The StatStrip Glucose Monitor and the ACCU-CHEK Inform II gave similar results of CSF glucose as a percentage of blood glucose in most samples. There was no correlation between the length of fast and CSF glucose results. Both the StatStrip Glucose Monitor and the ACCU-CHEK Inform II showed good agreement with laboratory CSF glucose. There was a significant positive bias with the Precision Xtra device. This study confirmed that some point-of-care devices can measure CSF glucose level reliably in the operating room setting. Further studies are needed to see if this will prove useful during attempted spinal anesthesia after failed epidural anesthesia.

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mentioning

confidence: 99%

Cerebrospinal Fluid Glucose Measurement at Point-of-Care

Thomas¹,

Halstead²,

Douglas³

et al. 2012

Point of Care: The Journal of Near-Patient Testing &Amp; Technology

View full text Add to dashboard Cite

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Identifying CSF using urine glucose dipstick testing

Hamilton

Young

2007

International Journal of Obstetric Anesthesia

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Bedside cerebrospinal fluid glucose analysis

Cited by 2 publications

References 5 publications

Cerebrospinal Fluid Glucose Measurement at Point-of-Care

Cerebrospinal Fluid Glucose Measurement at Point-of-Care

Identifying CSF using urine glucose dipstick testing

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