Smartphone-Based and Miniaturized Electrochemical Biosensing System for L-Lactate Detection

Real-time detection of L-lactate is crucial in monitoring tissue oxygenation and organ metabolism in surgery patients during the perioperative period. Traditional commercial L-lactate detection techniques using bulky and expensive instruments are time-consuming, hindering timely feedback in the operating room. Herein, utilizing the modified screen-printed carbon electrode, a portable and user-friendly smartphone-based electrochemical biosensing system, integrated with a miniaturized potentiostat via wireless transmission, was successfully constructed for bedside detection of L-lactate. It has a wide sensing range from 0.05–10 mM and a low limit of detection (9.1 μM). Bland–Altman analysis shows an acceptable agreement with the values of a mean difference (0.114 ± 0.3482) between results obtained with the commercial blood gas analysis instrument and the developed portable system. Accordingly, the developed portable system exhibits a great potential in point-of-care testing owing to its portability and rapid response in L-lactate detection during perioperative monitoring.