Evaluation of the Blood Gas & Electrolytes Analyzer Rapidlab 860 / 대한임상병리학회지

ABSTRACT

BACKGROUND: We evaluated the performance of the Rapidlab 860 (Chiron Diagnostics, Medfield, MA, USA), the newly introduced automated blood gas&electrolytes analyzer, according to the guidelines of the National Committee for Clinical Laboratory Standards. METHODS: The tested analytes were pH (hydrogen ion activity), PCO(2) (carbon dioxide pressure or tension), PO(2) (oxygen pressure or tension), Na(+) (sodium), K(+) (potassium), Ca(++) (ionized calcium), Cl(-)(chloride), HCO(3)(-)(bicarbonate), ctCO(2) (concentration of total carbon dioxide). Within-day precision, between-day precision, and sample-related carryover were analyzed using quality control materials at three different concentration levels for each analyte. Correlation was compared with the routinely used NOVA-Stat Profile 5 (Nova Biomedical, Waltham, MA, USA) with patient's whole blood samples. RESULTS: The within-day coefficients of variations (CVs) for pH, PCO(2), Na(+), K(+), Ca(++), HCO(3)(-), and ctCO(2) were less than 5.0%. The within-day CVs for PO(2) and Cl(-) at low concentration levels were 7.128% and 5.065%, respectively. The between-day CVs for each group were less than 5.0% in all analytes. Sample-related carryover was less than 5.0% in all items. Coefficients of correlation exceeded 0.950 except for PCO(2) and HCO(3)(-). CONCLUSIONS: Rapidlab 860 showed good precision, close correlation with NOVA-Stat Profile 5 and sample-related carryover was barely present for pH, PCO(2), PO(2), Na(+), K(+), Ca(++), Cl(-), HCO(3)()-ctCO(2).