scholarly journals Can Venous Blood Gas Be Used as an Alternative to Arterial Blood Gas in Intubated Patients at Admission to the Emergency Department? A Retrospective Study

2019 ◽  
Vol Volume 11 ◽  
pp. 305-312
Author(s):  
Nikola Schütz ◽  
Dominik Roth ◽  
Michael Schwameis ◽  
Martin Röggla ◽  
Hans Domanovits
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Venous Blood ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Venous Blood Gas

scholarly journals Investigation of the Utility of Peripheral Venous Blood Gas Instead of Arterial Blood Gas in The Emergency Department

2013 ◽  
Vol 3 (2) ◽  
pp. 29-33
Author(s):  
Ertan Bakoğlu ◽  
Ali Sedat Kebapçıoğlu ◽  
Ahmet Ak ◽  
Abdullah Sadık Girişgin ◽  
İsmail Zararsız
Keyword(s):  
Emergency Department ◽  
Venous Blood ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Peripheral Venous Blood ◽  
Arterial Blood ◽  
Venous Blood Gas

Reference intervals for venous blood gas measurement in adults

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Kirsty L. Ress ◽  
Gus Koerbin ◽  
Ling Li ◽  
Douglas Chesher ◽  
Phillip Bwititi ◽  
...  
Keyword(s):  
Partial Pressure ◽  
Meta Analysis ◽  
Venous Blood ◽  
Reference Interval ◽  
Reference Intervals ◽  
Published Data ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Venous Blood Gas

AbstractObjectivesVenous blood gas (VBG) analysis is becoming a popular alternative to arterial blood gas (ABG) analysis due to reduced risk of complications at phlebotomy and ease of draw. In lack of published data, this study aimed to establish reference intervals (RI) for correct interpretation of VBG results.MethodsOne hundred and 51 adult volunteers (101 females, 50 males 18–70 y), were enrolled after completion of a health questionnaire. Venous blood was drawn into safePICO syringes and analysed on ABL827 blood gas analyser (Radiometer Pacific Pty. Ltd.). A non-parametric approach was used to directly establish the VBG RI which was compared to a calculated VBG RI based on a meta-analysis of differences between ABG and VBGResultsAfter exclusions, 134 results were used to derive VBG RI: pH 7.30–7.43, partial pressure of carbon dioxide (pCO2) 38–58 mmHg, partial pressure of oxygen (pO2) 19–65 mmHg, bicarbonate (HCO3−) 22–30 mmol/L, sodium 135–143 mmol/L, potassium 3.6–4.5 mmol/L, chloride 101–110 mmol/L, ionised calcium 1.14–1.29 mmol/L, lactate 0.4–2.2 mmol/L, base excess (BE) −1.9–4.5 mmol/L, saturated oxygen (sO2) 23–93%, carboxyhaemoglobin 0.4–1.4% and methaemoglobin 0.3–0.9%. The meta-analysis revealed differences between ABG and VBG for pH, HCO3−, pCO2 and pO2 of 0.032, −1.0 mmol/L, −4.2 and 39.9 mmHg, respectively. Using this data along with established ABG RI, calculated VBG RI of pH 7.32–7.42, HCO3− 23 – 27 mmol/L, pCO2 36–49 mmHg (Female), pCO2 39–52 mmHg (Male) and pO2 43–68 mmHg were formulated and compared to the VBG RI of this study.ConclusionsAn adult reference interval has been established to assist interpretation of VBG results.

Venous blood gases: is it useful in COPD?

2017 ◽  
Vol 42 (1) ◽  
Author(s):  
Akkan Avci ◽  
Salim Satar ◽  
Erdem Aksay ◽  
Mürsel Koçer ◽  
Muhammed Semih Gedik ◽  
...  
Keyword(s):  
Acute Exacerbation ◽  
Pearson Correlation ◽  
Venous Blood ◽  
Chronic Obstructive ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Acute Exacerbation Of Copd ◽  
Arterial Blood ◽  
Exacerbation Of Copd ◽  
Venous Blood Gas

AbstractIntroductionThe present study aims to investigate whether values of venous blood gas sampling can be used instead of arterial blood gas values in the evaluation of blood gas for the emergency service patients with acute exacerbation of chronic obstructive pulmonary disease (COPD).MethodsPatients diagnosed COPD and identified to have acute exacerbation of COPD based on acute exacerbation of COPD criteria participated in the study. Data from arterial and venous samples were compared using Spearman and Pearson correlation and Bland-Altman analysis.ResultsNinety patients were included in this study. The results indicated statistically significant correlations between venous blood gas pH, pODiscussion and conclusionThe findings of the study suggest that some formulations can be used to estimate pH and pCO

scholarly journals Comparison of accuracy and stability between disposable arterial blood syringes and pre-heparinized syringe in arterial blood gas analysis: a retrospective study

2019 ◽  
Author(s):  
Xiexiong Zhao ◽  
Joel Dominic Swai ◽  
Huiling Chen ◽  
Huiting Tang ◽  
Junwen Wang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Correlation Coefficient ◽  
Pearson Correlation ◽  
Gas Analysis ◽  
Blood Gas ◽  
Sample Collection ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Accuracy And Stability

Abstract Background Arterial blood gas (ABG) analysis is vital in the emergency department. However, the accuracy and stability of some indicators in ABG analysis are debatable compared with venous ones. Disposable arterial blood syringe (DABS) usage is increasing in clinical practice. To compare the accuracy and stability of venous versus arterial blood results and newly emerging DABS versus traditionally used pre-heparinized syringe (PHS) results, we performed this study.Methods This retrospective study was performed at the emergency department of the Third Xiangya Hospital of Central South University. Participants were divided into two groups PHS and DABS, from which venous and arterial blood was drawn and analyzed either in laboratory or ABG-analyzer. Blood sample results were compared by the Pearson correlation coefficient and t-test. By removing extreme results, the sensitivity analysis was conducted.Results A total of 500 patients (64.80% male, mean age 63.55±16.82) and 400 patients (65.25% male, mean age 62.86±15.65) were enrolled in PHS and DABS groups, respectively. Compared with PHS group, DABS had a quite higher correlation coefficient in K + (0.923 vs. 0.855), Na + (0.911 vs. 0.850) and the differences between venous and arterial of all indicators (K + 0.202mmol/L vs. 0.318mmol/L, P<0.0001; Na + 1.187mmol/L vs. 2.902mmol/L, P<0.0001; Cl - -5.336mmol/L vs. –7.598mmol/L, P<0.0001; Hb -0.898g/L vs. 2.212g/L, P<0.0001; HCT -0.659% vs. 1.269%, P<0.0001) were significantly smaller in DABS group.Conclusion High accuracy was seen in arterial blood results irrespective of the usage of PHS or DABS for sample collection. DABS showed more accurate and stable results, suggesting its role for future medical use.

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