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Original article| Volume 124, ISSUE 2, P210-217, August 1994

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Application of transcutaneous microdialysis and continuous flow analysis for on-line glucose monitoring in newborn infants

  • Jaep de Boer
    Correspondence
    Reprint requests: J. de Boer, MD, PhD, Department of Biological Psychiatry, University Hospital Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.
    Affiliations
    From the Department of Biological Psychiatry and the Division of Neonatology, Beatrix Children's Hospital, University Hospital Groningen Groningen, The Netherlands
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  • Rienk Baarsma
    Affiliations
    From the Department of Biological Psychiatry and the Division of Neonatology, Beatrix Children's Hospital, University Hospital Groningen Groningen, The Netherlands
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  • Albert Okken
    Affiliations
    From the Department of Biological Psychiatry and the Division of Neonatology, Beatrix Children's Hospital, University Hospital Groningen Groningen, The Netherlands
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  • Hillie Plijter-Groendijk
    Affiliations
    From the Department of Biological Psychiatry and the Division of Neonatology, Beatrix Children's Hospital, University Hospital Groningen Groningen, The Netherlands
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  • Jakob Korf
    Affiliations
    From the Department of Biological Psychiatry and the Division of Neonatology, Beatrix Children's Hospital, University Hospital Groningen Groningen, The Netherlands
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      Abstract

      The combination of a transcutaneous microdialysis probe and continuous flow analysis was tested for continuous glucose monitoring in eight newborn infants who were fed intravenously. The probe was placed on the skin, which was first stripped with cellophane tape to increase the skin permeability. The skin was stripped until the transepidermal water loss reached values greater than 80 gm/m2/hr. Dialysate concentrations were monitored for 165 minutes while the blood glucose concentrations were manipulated by changing the infusion rate of glucose. Blood glucose concentration was linearly related to the dialysate concentration. Because the dialysate/blood glucose ratio varied among the infants, the dialysate concentration was calibrated to estimated blood values with a single-point and a multiple-point calibration method. The latter method yielded more accurate estimates of the blood values. We conclude that transcutaneous microdialysis may be used for glucose monitoring in newborn infants.

      Abbreviations:

      CV (coefficient of variation), EDTA (ethyleredieminetetraacetic acid), NADP (nicotinemide-adenine denucleotide phosphate), SD (standard deviation), TEWL (transepidermal water loss), TRIS (tris(hydroxymethyl)aminomethane)
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