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Spinal Fluid Critical Values

  • 1.  Spinal Fluid Critical Values

    Posted 03-07-2018 21:09
    Spinal fluids in our lab are called to the provider as a critical value when WBCs are great than 5 cells/ul for adults, and additional critical values for infants, adolescents and children.  We  utilize four published corresponding reference ranges for these four age groups.  It would be helpful to understand what is common practice in other organizations.  It would be so appreciated to hear what others are doing.

    Diane Hutchinson
    Allina Health Hematology Technical Specialist
    Minneapolis, MN


  • 2.  RE: Spinal Fluid Critical Values

    Posted 03-08-2018 14:15
    ​At HealthPartners, we do not have critical values for this, but we have age-related reference ranges.

    Nucleated Cells: 0-30 cells/uL (0 -1 year)
    0-20 cells/uL (1 5 years)
    0-10 cells/uL (5 12 years)
    0-5 cells/uL (>12 years)

    Red Blood Cells: 0 - 10 cells/uL




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    Rick Panning
    Senior Administrative Director
    HealthPartners
    Bloomington MN
    6512805909
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  • 3.  RE: Spinal Fluid Critical Values

    Posted 03-09-2018 14:03
    ​We do not currently use critical value ranges or reference ranges for CSF.  We will call the provider if unverified differential results contain suspicious cells.  The differential may be held for a Pathologist review for confirmation.

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    Kristina Martin
    Clinical Pathology Operations Manager
    University of Michigan
    Gregory MI
    (810) 397-7119
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  • 4.  RE: Spinal Fluid Critical Values

    Posted 03-08-2018 14:17
    ​I misspoke:  I gave you our age related reference ranges.

    We DO have a critical value of >/= 6 nucleated cells.

    Sorry for the confusion.

    Rick

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    Rick Panning
    Senior Administrative Director
    HealthPartners
    Bloomington MN
    6512805909
    ------------------------------