Transcription of HANDLING PLEURAL FLUID SAMPLES FOR ROUTINE …
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Jos M. PorcelPleural Diseases Unit, Department of Internal Medicine, Arnau de Vilanova University Hospital, Bio-medical Research Institute of Lleida, Lleida, Spaine-mail: removal of a small volume of PLEURAL FLUID for analysis (diagnostic thoracentesis) is performed to identify the cause of an effusion. The proper collec-tion and HANDLING of FLUID specimens is of paramount importance as it may affect the reliability and accuracy of analyses. Inadequately trained clinicians sometimes send a single vacuum bottle or large syringe to be cir-culated through various laboratory sections or even different laboratories. Often, a sample may contain a large blood or fibrin clot as the result of inadequate anticoagulation or mixing. This article briefly describes the optimal conditions for the collection, transporta-tion, and processing of PLEURAL FLUID SAMPLES in rou-tine clinical practice, thus avoiding potential sources of preanalytical PLEURAL FluidPleural FLUID specimens are obtained with a needle and syringe under aseptic conditions.
hydrogenase [LDH], which may experience a reduction in concentrations from day 2 onward), or cytomorphol-ogy (12,13). Conversely, refrigeration inhibits the viabil-
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