Acid-Base Balance and Blood Gas Interpretation

2001 ◽  
pp. 131-146
Author(s):  
M. Fareed Azam ◽  
William T. Peruzzi
Author(s):  
Felice Eugenio Agrò ◽  
Marialuisa Vennari ◽  
Maria Benedetto

2018 ◽  
Vol 34 (1-2) ◽  
pp. 38-43
Author(s):  
Sari Leyli Harahap ◽  
Chairul Adillah Harahap ◽  
Sri Sulastri ◽  
Chairul Yoel ◽  
Noersida Raid

We performed a prospective study on the association between acid-base balance and asphyxta based on Apgar scores in 45 newborn babies admitted to the Division of Perinatology, Pirngadi Hospital, Medan, from January 1 to February 28, 1993. Blood gas analysis was done on blood obtained from umbilical artery. Based on 1st and 5th minutes Apgar scores, 40 (88.9%) and 21 babies (46.7%}, respectively, had asphyxia. Relation to acid-base balance was determined with the sensitivity of the 5th minute Apgar score in predicting acidotic states. It was found that Apgar score had sensitivity of 57.7% and specificity of 68.4% in predicting the acidotic states. Apgar score of > 7 was unable to. exclude the possible acidosis in 45% of cases (negative predictive value 54.1%). Gestational age had no influence on Apgar Scores. Apgar score was more sensitive to eliminate suspected acidosis in term neonates than in preterms. We recommend to perform umbilical arterial blood gas analysis to determine acidotic state in high risk newborn infants.


2009 ◽  
Vol 28 (2) ◽  
pp. 125-128 ◽  
Author(s):  
Mary Farmand

UNDERSTANDING BLOOD GAS values and acid-base balance are fundamental skills of neonatal nursing. This is because, in the NICU, blood gases are probably ordered more than any other laboratory test. The bedside nurse not only obtains the specimen, but is also crucially involved in interpreting the results because blood gases cannot stand alone; they need to be evaluated in the context of the entire clinical picture. This article provides basic information on the components of a blood gas, acid-base balance, as well as a systematic approach to blood gas analysis.


2012 ◽  
Vol 45 (9) ◽  
pp. 683-687 ◽  
Author(s):  
Gabriel Lima-Oliveira ◽  
Giuseppe Lippi ◽  
Gian Luca Salvagno ◽  
Martina Montagnana ◽  
Geraldo Picheth ◽  
...  

2020 ◽  
Vol 7 (2) ◽  
pp. 86-90
Author(s):  
Ruslan Yackubtsevich ◽  
Uladzimir Serhiyenka ◽  
Alexander Khmialenka ◽  
Rusla Yackubtsevich ◽  
Jerzy Robert Ładny ◽  
...  

Introduction: The gas composition and acid-base balance of blood play a main role in assessing the patient in critical condition. Estimating the dynamics of acid-base balance, one can judge the severity of pathology and the adequacy of therapeutic measures. The aim: to determine the effect of hemoperfusion on the gas composition and acid-base balance of blood in children with severe forms of peritonitis. Material and methods: The study was performed on the basis of a prospective analysis of acid-base balance of blood and blood gas composition of 30 patients in the early postoperative period with severe forms of peritonitis, who were treated in the Department of anesthesiology and intensive care of the Grodno regional children’s clinical hospital. This study was conducted in accordance with the standards of bioethics, was approved by the ethical Committee of the institution and complies with the principles of the Helsinki Declaration. Results and conclusions: This article describes the methodology of hemoperfusion in children, analyzed the dynamics of changes in the basic parameters of acid-base balance and blood gas composition in the early postoperative period with severe forms of peritonitis during hemoperfusion. The positive dynamics of laboratory data obtained as a result of the study proves the high effectiveness of the use of antiproteinase biospecific hemosorbent. The use of biospecific hemoperfusion as an additional method in the complex therapy of peritonitis gives a real opportunity to improve the results of treatment of this category of patients.


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