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Blood Studies I: ABG and VBG

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A Rapid and Chemical-free Hemoglobin Assay with Photothermal Angular Light Scattering
05:18

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Published on: December 7, 2016

A simple quantitative bedside test to determine methemoglobin.

Fathima Shihana1, Dhammika Menike Dissanayake, Nicholas Allan Buckley

  • 1South Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka. shihana@sactrc.org

Annals of Emergency Medicine
|October 13, 2009
PubMed
Summary
This summary is machine-generated.

A new low-cost bedside color chart accurately estimates methemoglobin levels in pesticide poisoning cases. This method is valuable for resource-limited settings lacking laboratory facilities.

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Area of Science:

  • Clinical Chemistry
  • Toxicology
  • Point-of-Care Diagnostics

Background:

  • Methemoglobinemia from pesticide poisoning has high mortality (12%) in Sri Lanka.
  • Limited laboratory facilities complicate treatment in resource-limited settings.

Purpose of the Study:

  • Develop and validate a low-cost, bedside test for quantitative methemoglobin estimation.
  • Improve clinical management of methemoglobinemia in resource-limited areas.

Main Methods:

  • Created a color chart using scanned methemoglobin blood samples (10-100%).
  • Measured red, green, and blue values using a flatbed scanner and ImageJ software.
  • Assessed interobserver agreement and compared with spectrometric measurements.

Main Results:

  • Red color value showed a strong linear correlation with methemoglobin percentage (R²=0.9938).
  • High interobserver agreement (94% and 88%) was achieved using the color chart.
  • Clinical use demonstrated good agreement with standard spectrometric methods.

Conclusions:

  • A color chart provides a clinically useful, quantitative estimate of methemoglobinemia.
  • This bedside test is suitable for resource-limited settings.