Biomedical point-of-care microanalyzer for potentiometric determination of ammonium ion in plasma and whole blood

Some inborn errors of metabolism and other diseases can result in increasing blood ammonium (hyperammonemia episodes), which can cause serious neurological complications in patients or even death. Early diagnosis, follow up and treatment are essential to minimize irreversible damages in brain. Curre...

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Detalhes bibliográficos
Autores: Calvo-López, Antonio|||0000-0003-2728-8676, Rebollo Calderón, Beatriz|||0000-0001-5968-8004, Ormazábal, Aida, Artuch, R.|||0000-0002-3422-9685, Rosell Ferrer, Javier|||0000-0002-9691-328X, Alonso-Chamarro, Julián|||0000-0002-6804-6027, Puyol, Mar|||0000-0002-9274-2284
Tipo de documento: artigo
Data de publicação:2022
País:España
Recursos:Universitat Autònoma de Barcelona
Repositório:Dipòsit Digital de Documents de la UAB
Idioma:inglês
OAI Identifier:oai:ddd.uab.cat:259762
Acesso em linha:https://ddd.uab.cat/record/259762
https://dx.doi.org/urn:doi:10.1016/j.aca.2022.339782
Access Level:Acceso aberto
Palavra-chave:Blood ammonium
Hyperammonemia
Monitoring
Point-of-Care analyzer
Ion selective electrodes
Descrição
Resumo:Some inborn errors of metabolism and other diseases can result in increasing blood ammonium (hyperammonemia episodes), which can cause serious neurological complications in patients or even death. Early diagnosis, follow up and treatment are essential to minimize irreversible damages in brain. Currently, adequate analytical instrumentation for the necessary ammonium bedside determination is not available in all health centers but only in clinical laboratories of reference hospitals. We therefore have developed a low cost and portable potentiometric Point-of-Care microanalyzer (POC) to address this problem. It consists of a cyclic olefin copolymer-based microanalyzer, the size of a credit card and working in continuous flow, which integrates microfluidics, a gas-diffusion module and a potentiometric detection system. The analytical features achieved are a linear range from 30 to 1000 μmol L NH , a detection limit of 18 μmol L NH and a required sample volume of 100 μL, which comply with the medical requirements. Plasma and blood samples are analyzed with no significant differences observed between ammonium concentrations obtained with both the proposed microanalyzer and the reference method. This demonstrates the value of the developed POC for bedside clinical applications.