Beta hydroxybutyrate

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Hello,

Our ICU is looking for a POC test/platform for Beta Hydroxybutyrate. Does anyone perform this test at bedside? Our hospital lab sends it out to a reference lab. Any insight would be appreciated.

Thanks!
Erica Ward

7 Replies

Our system uses Vidan's Lucidplus device for beta hydroxybutyrate. We do the test in the laboratory, but it could probably be done at POC. Certainly better than sending to a reference lab, as this test is critical for management of some patients.

Thanks, Kathleen. It looks very simple to use and CLIA waived. How did you validate the device for the lab?

I'm not sure, since this was done by the lab and not the POCT department. It was implemented due to the sudden removal of the acetone tablets that we had been using, so there was no current method to compare it to. Since it's waived, there are no specific regulations regarding implementation, so I would imagine running QC would be sufficient. I would check the manufacturer's instructions for validation. You could also compare specimens to the test you're currently sending out.

Thank you again for your insight. I really appreciate it. I am going to look into getting some information from the manufacturer.

We use the Abbott Freestyle Precision Pro hospital meter with the Ketone strip.  We have it interfaced with our QML and the units are liking it.  We currently have it in our ED, PICU, Endo unit in house and our Endo Clinic in house.  I think we will be expanding to offer it at our Endo satellites.  Since it's originally a hospital glucometer (we don't use it as a glucometer) it has all the lockouts and scanning features that we need.

Hello Adonica,

Do you know if the Freestyle Precision Pro is evaluated for use on critically ill patients?
Thanks

Hi Erica,
We don't use the Freestyle for glucose so the critical ill patient wouldn't apply.  That should be just for glucose.

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Erica Ward
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