ABGs in Ambulatory Centers !

Discussion in 'Anesthesiology' started by Cookie, Jan 15, 2014.

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  1. Cookie

    Cookie Member 10+ Year Member

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    Just wondering how many of you have the capability to run ABGs in ambulatory surgery centers, say to help r/o MH !
     
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  3. norwood

    norwood ASA Member 7+ Year Member

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    Haven't seen that. Would be cool, but that little handheld ABG machine is awfully pricey - how much does it cost these days?
     
  4. FFP

    FFP Offline Gold Donor 7+ Year Member

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    If you need it, your patient is in the wrong place.
     
  5. jwk

    jwk CAA, ASA-PAC Contributor 10+ Year Member

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    This!
     
  6. BobBarker

    BobBarker Member 10+ Year Member

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    We have an istat machine in our ASC. We use it analyze venous samples for chemistry on the DOS.
     
  7. sevoflurane

    sevoflurane Ride 10+ Year Member

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    I think having an istat machine in a detached ASC is a fine idea. Chances are you won't use it much, but when you need it, it's nice to have.
    Non-issue with an attached ASC.
     
  8. sevoflurane

    sevoflurane Ride 10+ Year Member

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    I don't think Istat machines are expensive. $300-400?
     
  9. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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    A very seldom used iStat is a headache to maintain and keep PM'd. The cartridges expire and get thrown away. If it's somebody else's problem to take care of it and they do it, great. Otherwise it's not going to work the one day you need it.


    True, if you're talking about cases in which you plan to use it. But **** happens everywhere and it's nice to have some immediate lab capability.
     
  10. Cookie

    Cookie Member 10+ Year Member

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    The issues isn't the cost, it is getting the proper certification as the pathology department needs to oversee the process and the machines will need to be maintained and inspected. is it worth the hassle for a stand alone ambulatory center ! If for example you suspect an MH case and need to confirm/manage the patient !
     
  11. stonemd

    stonemd ASA Member 2+ Year Member

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    We do CBG, Hb, K, PT, Uhcg, Ucocaine/meth in our nonattached ASC. Could get a ABG module but haven't yet. MHAUS recommends ABG capability.
     
  12. eventualeventer

    eventualeventer Medical Tire Fire 7+ Year Member

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    More like $5K-$8K for the iSTAT1. The older 200 series is no longer being supported and cartridges are not being made, although there are still a few up for sale on eBay for a few hundred bucks. Pissed off a lot of veterinarians and caused them to switch to other systems by stopping support for the "old" systems (which were still being sold new a couple years ago).
     

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