Abstract #361

# 361
Laboratory validation of a prototype cow-side instrument for the measurement of blood ionized calcium concentrations in dairy cattle.
Rafael C. Neves*1, Tracy Stokol1, Jessica A. A. McArt1, 1Department of Population Medicine & Diagnostic Sciences, Cornell University, Ithaca, NY.

There is currently no efficient and inexpensive method for field measurement of blood calcium concentrations. Ionized calcium (iCa) is the homeostatic form of the mineral and is thought to have greater biological relevance over that of total calcium. The objective of this study was to evaluate the linearity and precision of a prototype cow-side instrument (Horiba, Japan) for measuring blood iCa concentrations. Blood (300 mL) was collected from the right jugular vein of a multiparous dairy cow (4 DIM) into lithium heparin tubes immediately before (T0) and 5 min after (T5) intravenous administration of 500 mL of 23% calcium borogluconate. The iCa concentrations were determined using a blood-gas analyzer (ABL-800 FLEX, Radiometer) as a gold-standard. The T0 sample was diluted using 0.9% saline to create a sample with low iCa (reference interval = 1.10 to 1.35 μmol/L). The diluted T0 sample was then mixed with the T5 sample in different ratios (100/0, 75/25, 50/50, 25/75, 0/100) to obtain 5 levels of iCa concentrations (0.69, 1.0, 1.28, 1.58, and 1.82 μmol/L). Each mixture was then analyzed in triplicate using 3 different prototypes under one-point (1P) and 2-point (2P) calibration with the means compared with results from the blood-gas analyzer. Cumulative sum tests for linearity from Passing and Bablok regressions showed no deviation from linearity for the combined results of all 3 prototypes under 1P vs. the gold-standard (P = 0.19) and under 2P vs. the gold-standard (P = 0.19). Instrument precision (coefficient of variation; CV) was determined by 10 repeat measurements of the diluted T0 sample, T0, and T5 samples under 1P and 2P calibrations. The CV ranged from 1.3 to 5% for the 3 prototypes. Laboratory results indicate good accuracy and precision for a cow-side instrument at the tested iCa concentrations. Investigation of the instrument under field conditions is warranted.

Key Words: ionized calcium, cow-side instrument, dairy cattle