Collection and handling of samples: effects on blood gases, Na, K, ionized Ca, Mg, lactate, and phosphate analyses

2022 ◽  
pp. 205-223
Author(s):  
John G. Toffaletti ◽  
Craig R. Rackley
Keyword(s):  
Author(s):  
R. Lindemann ◽  
P. Hågå ◽  
A. G. Bechensteen ◽  
K. Lossius ◽  
A. Langslet

1998 ◽  
Vol 74 (4) ◽  
pp. 275-83
Author(s):  
Antônio C. P. Ferreira ◽  
Benjamin I. Kopelman ◽  
Werther Brunow de Carvalho ◽  
Jorge Bonassa

2020 ◽  
Vol 98 (Supplement_3) ◽  
pp. 7-7
Author(s):  
Betty R McConn ◽  
Alan W Duttlinger ◽  
Kouassi R Kpodo ◽  
Jacob M Maskal ◽  
Brianna N Gaskill ◽  
...  

Abstract Pregnant sows, especially during late-gestation, may be susceptible to heat stress due to increased metabolic heat production and body mass. Therefore, the study objective was to determine the thermoregulatory and physiological responses of sows exposed to increasing ambient temperature (TA) at 3 reproductive stages. In 3 repetitions, 27 multiparous sows (parity 3.22±0.89) were individually housed and had jugular catheters placed 5.0±1.0 d prior to the experiment. To differentiate between reproductive stages, sows were categorized as open (not pregnant, n=9), mid-gestation (59.7±9.6 days pregnant, n=9), or late-gestation (99.0±4.8 days pregnant, n=9). During the experiment, sows were exposed to 6 consecutive 1 h periods of increasing TA (period 1, 14.39±2.14°C; period 2, 16.20±1.39°C; period 3, 22.09±1.87°C; period 4, 26.34±1.39°C; period 5, 30.56±0.81°C; period 6, 35.07±0.96°C), with 1 h transition phases in between each period. Respiration rate (RR), heart rate (HR), skin temperature, and vaginal temperature (TV) were measured every 20 min and the mean was calculated for each period. At the end of each period, blood gases, leukocytes, and red blood cell counts were measured. Overall, RR and HR were greater (P≤0.04; 45.6% and 12.9%, respectively) in late-gestation versus mid-gestation sows. Compared to mid-gestation and open sows, TV tended to be greater (P=0.06) during period 4 (0.18°C and 0.29°C, respectively) and period 5 (0.14°C and 0.18°C, respectively) in late-gestation sows. Blood O2 increased (P< 0.01; 18.1%) for all sows with advancing period, regardless of reproductive stage. Late-gestation sows had reduced (P=0.02; 16.1%) blood CO2 compared to mid-gestation sows, regardless of period. In summary, late-gestation sows appear to be more sensitive to increasing TA as indicated by increased RR, HR, TV, and blood O2, and reduced blood CO2 when compared to mid-gestation or open sows. This change in O2 and CO2, due to increasing RR and heat stress sensitivity of late-gestation sows, may suggest an alteration to the acid-base balance, leading to respiratory alkalosis.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Eman Sobh ◽  
Fatma Elhussieny ◽  
Taghreed Ismail

Abstract Background Nasal obstruction is a significant medical problem. This study aimed to examine the effect of nasal obstruction and nasal packing on arterial blood gases and pulmonary function indices, and the impact of the elimination of nasal obstruction on preoperative values. Results The mean age of the study population was 26.6 ± 10.1 years, males represented 50.8%. Spirometric indices showed statistically significant improvement (preoperative forced expiratory volume in 1st second 66.9 ± 13.9 vs 79.6 ± 14.9 postoperative and preoperative forced vital capacity 65.5 ± 12.7 vs 80.4 ± 13.8 postoperative). Oxygen saturation was significantly lower during nasal packing (95.6 ± 1.6 preoperative vs 94.7 ± 2.8 with nasal pack), and significant improvement (97.2 ± 1.4) was observed after removal of the nasal pack. Nasal obstruction scores significantly improved. Conclusion The results of this study indicate that either simple nasal obstruction or nasal packing may cause hypoxemia and abnormalities in lung function tests. Hypoxemia was more evident with nasal packing.


1943 ◽  
Vol 148 (3) ◽  
pp. 551-563
Author(s):  
P.F. Scholander ◽  
F.J.W. Roughton
Keyword(s):  

2020 ◽  
Vol 8 (S1) ◽  
Author(s):  
Chiara Robba ◽  
Dorota Siwicka-Gieroba ◽  
Andras Sikter ◽  
Denise Battaglini ◽  
Wojciech Dąbrowski ◽  
...  

AbstractPost cardiac arrest syndrome is associated with high morbidity and mortality, which is related not only to a poor neurological outcome but also to respiratory and cardiovascular dysfunctions. The control of gas exchange, and in particular oxygenation and carbon dioxide levels, is fundamental in mechanically ventilated patients after resuscitation, as arterial blood gases derangement might have important effects on the cerebral blood flow and systemic physiology.In particular, the pathophysiological role of carbon dioxide (CO2) levels is strongly underestimated, as its alterations quickly affect also the changes of intracellular pH, and consequently influence metabolic energy and oxygen demand. Hypo/hypercapnia, as well as mechanical ventilation during and after resuscitation, can affect CO2 levels and trigger a dangerous pathophysiological vicious circle related to the relationship between pH, cellular demand, and catecholamine levels. The developing hypocapnia can nullify the beneficial effects of the hypothermia. The aim of this review was to describe the pathophysiology and clinical consequences of arterial blood gases and pH after cardiac arrest.According to our findings, the optimal ventilator strategies in post cardiac arrest patients are not fully understood, and oxygen and carbon dioxide targets should take in consideration a complex pattern of pathophysiological factors. Further studies are warranted to define the optimal settings of mechanical ventilation in patients after cardiac arrest.


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