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一种用于重症监护病房中经导管的新生儿和儿科的微量血液采样系统。

A micro blood sampling system for catheterized neonates and pediatrics in intensive care unit.

机构信息

Microsystems and BioMEMS Laboratory, School of Electronics and Computing Systems, University of Cincinnati, Cincinnati, OH 45221, USA.

出版信息

Biomed Microdevices. 2013 Apr;15(2):241-53. doi: 10.1007/s10544-012-9724-x.

Abstract

A new micro blood sampling system has been designed, fabricated, and characterized to reduce iatrogenic blood loss from the catheterized neonates and pediatrics in intensive care unit by providing micro-volume of blood to analytical biomedical microdevices which can do point-of-care testing for their critical care. The system can not only save enormous iatrogenic blood loss through 1 to 10 μL of blood sampling and re-infusion of 1 to 5 mL of discard blood but also reduce the infection risk through the closed structure while satisfying the key criteria of the blood sampler. The sampled blood preserved its quality without rupturing of red blood cells verified by blood potassium concentrations of 3.86 ± 0.07 mM on the sampled blood which is similar to 3.81 ± 0.04 mM measured from the blood which did not go through the system. The sampling volume among the sampling channels showed consistency with the relative standard deviation of 1.41 %. In addition to the micro blood sampling capability, the sampling system showed negligible sample cross-contamination. The analyte-free samples collected after aspirating 7,500 times higher signal sample showed the same output signal as blank. The system was also demonstrated not to cause air-embolism by having no bubble generation during flushing procedure and the system was verified as leak-free since there was no fluid leakage under 30 times higher pressure than central venous pressure for 24 h.

摘要

设计、制造并表征了一种新的微采血管系统,以减少重症监护病房中经导管新生儿和儿科患者的医源性失血,为分析生物医学微设备提供微采血量,从而可以对其关键护理进行即时检测。该系统不仅可以通过 1 至 10 μL 的采血量和 1 至 5 mL 的废弃血回输来节省大量的医源性失血,还可以通过封闭结构降低感染风险,同时满足采血管的关键标准。采集的血液质量得以保存,红细胞没有破裂,通过采集血液的血钾浓度 3.86 ± 0.07 mM 得到验证,与未经过系统的血液的血钾浓度 3.81 ± 0.04 mM 相似。采血管之间的采血量具有一致性,相对标准偏差为 1.41%。除了微采血能力外,采样系统还表现出可忽略的样品交叉污染。在吸取 7500 倍更高信号样品后收集的无分析物样品的输出信号与空白相同。冲洗过程中没有气泡产生,表明该系统不会引起气栓,并且在高于中心静脉压 30 倍的压力下持续 24 小时也没有发生泄漏,证明该系统无泄漏。

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