NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

EFFECT OF PNEUMATIC TUBE TRANSPORT SYSTEM ON THE VALIDITY OF DETERMINATIONS IN BLOOD CHEMISTRY.

Author(s): MCCLELLAN EK, NAKAMURA RM, HAAS W, MOYER DL, KUNITAKE GM

Publication: Am J Clin Pathol, 1964, Vol. 42, Page 152-5

PubMed ID: 14202148 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of pneumatic tube system (PTS) transport on clinical chemistry analytes in blood and serum.

Conclusion of Paper

The serum hemoglobin levels in the specimens transported via PTS were 145-4150% (mean 1528%) higher than when hand-delivered. While none of the PTS-transported specimens had serum hemoglobin levels in the normal range, 14 of 18 hand-delivered specimens had levels in the normal range. Serum lactate dehydrogenase (LDH) levels were 21-163% (mean 70%) higher in specimens transported by PTS than those hand-delivered. Further, 16 of 18 specimens had higher serum potassium levels after PTS transport than after hand-delivery (2-32%). Serum levels of urea nitrogen, chloride, bicarbonate, sodium, glutamic oxalacetic transaminase, and glutamic pyruvic transaminase and blood levels of alkaline phosphatase, total protein, and albumin to globulin ratio were unaffected by PTS transport.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of PTS transport on clinical chemistry analytes in blood and serum. Blood was collected into vacutainers which were sealed with rubber stoppers. During PTS transport, the tubes travelled at 25-30 ft/sec through several turns in carriers. The tubes were inserted into the carriers such that no tubes broke (stoppered end down). The significance of some of the reported changes was not evaluated.

    Summary of Findings:

    The serum hemoglobin levels in the specimens transported via PTS were 145-4150% (mean 1528%) higher than when hand-delivered (p<0.0005). While none of the PTS-transported specimens had serum hemoglobin levels in the normal range, 14 of 18 hand-delivered specimens had levels in the normal range. Serum LDH levels were 21-163% (mean 70%) higher in specimens transported by PTS than those hand-delivered. Further, 16 of 18 specimens had higher serum potassium levels after PTS transport than after hand-delivery (2-32%). Serum levels of urea nitrogen, chloride, bicarbonate, sodium, glutamic oxalacetic transaminase, and glutamic pyruvic transaminase and blood levels of alkaline phosphatase, total protein, and albumin to globulin ratio were unaffected by PTS transport.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Protein Colorimetric assay
    Protein Clinical chemistry/auto analyzer
    Protein Spectrophotometry
    Electrolyte/Metal Flame emission photometry
    Electrolyte/Metal Clinical chemistry/auto analyzer
    Small molecule Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Within hospital transportation method Hand-delivered
    Pneumatic tube system
    Biospecimen Aliquots and Components Blood and blood products Serum
    Whole blood

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