Potential errors in neonatal blood gas measurements

1980 ◽  
Vol 97 (4) ◽  
pp. 650-652 ◽  
Author(s):  
Leland L. Fan ◽  
Kathleen T. Dellinger ◽  
Anita L. Mills ◽  
Robert E. Howard
1981 ◽  
Vol 99 (5) ◽  
pp. 833
Author(s):  
Gaetano Chirico ◽  
Giorgio Rondini

1999 ◽  
Vol 45 (6) ◽  
pp. 904-904
Author(s):  
C Morgan ◽  
S Newell ◽  
A Ducker ◽  
J Hodgkinson ◽  
D White ◽  
...  

2017 ◽  
Vol 50 (16-17) ◽  
pp. 936-941 ◽  
Author(s):  
George S. Cembrowski ◽  
Qian Xu ◽  
Adam R. Cembrowski ◽  
Junyi Mei ◽  
Hossein Sadrzadeh

Author(s):  
Tom Scott ◽  
Hanna van Waart ◽  
Xavier CE Vrijdag ◽  
David Mullins ◽  
Peter Mesley ◽  
...  

Arterial blood gas (ABG) measurements at both maximum depth and at re-surfacing prior to breathing have not previously been measured during freedives conducted to extreme depth in cold open-water conditions. An elite freediver was instrumented with a left radial arterial cannula connected to two sampling syringes through a low-volume splitting device. He performed two open-water dives to 60 metres depth (197', 7 atmospheres absolute pressure) in the constant weight with fins competition format. ABG samples were drawn at 60 metres (by a mixed-gas scuba diver), and again on re-surfacing before breathing. An immersed surface static apnea, of identical length to the dives and with ABG sampling at identical times, was also performed. Both dives lasted approximately two minutes. PaO2 increased during descent from an indicative baseline of 15.8 kPa (after hyperventilation and glossopharyngeal insufflation) to 42.8 and 33.3 kPa (dives one and two), and decreased precipitously (to 8.2 and 8.6 kPa) during ascent. PaCO2 also increased from a low indicative baseline of 2.8 kPa to 6.3 and 5.1 kPa on dives one and two; an increase not explained by metabolic production of CO2 alone since PaCO2 actually decreased during ascent (to 5.2 and 4.5 kPa). Surface static apnea caused a steady decrease in PaO2 and increase in PaCO2 without the inflections provoked by depth changes. Lung compression and expansion provoke significant changes in both PaO2 and PaCO2 during rapid descent and ascent on a deep freedive. These changes generally support predictive hypotheses and previous findings in less extreme settings.


1994 ◽  
Vol 188 (1) ◽  
pp. 235-256 ◽  
Author(s):  
A Adamczewska ◽  
S Morris

The respiratory and circulatory physiology of the terrestrial Christmas Island red crab Gecarcoidea natalis was investigated with respect to exercise in the context of its annual breeding migration. Red crabs were allowed to walk for predetermined periods of up to 45 min. During this exercise period, blood gas measurements were made on venous, pulmonary and arterial samples to assess the function of the lungs in gas exchange and the performance of the circulatory system in gas transport and to determine the role and importance of the haemocyanin. The lungs of G. natalis were very efficient at O2 uptake, pulmonary blood being 80­90 % saturated throughout the 45 min exercise period. The maximum O2-carrying capacity was 1.1 mmol l-1, and haemocyanin (Hc) delivered 86 % of oxygen in resting crabs and 97 % during exercise. Oxygen delivery to the tissues was diffusion-limited during exercise. Indirect evidence, from the changes in haemolymph pH during transit through the lungs, suggested that the lung is the site of CO2 excretion. The Bohr shift was high at high pH (pH 7.8­7.5, phi=-1.23) but decreased at low pH (pH 7.1­6.8, phi=-0.48). The decreased Hc affinity for O2 during the exercise period facilitated O2 delivery to the tissues without impairing O2 loading at the lungs. The decrease in pH was sufficient to explain the change of affinity of Hc for O2 during the exercise period. The marked acidosis (0.8 pH unit decrease) was largely metabolic in origin, especially during sustained locomotion, but less than could be predicted from concomitant lactate production.


Arterial blood gas (ABGs) analysis forms the cornerstone of emergency respiratory investigation. In many situations values obtained dictate management strategy and facilitate decision-making. It is an uncomfortable procedure for the patients and if repeated ABGs are required, consider whether less invasive measures, such as respiratory rate, pulse oximetry or capillary blood gas measurements could be used....


1984 ◽  
Vol 30 (4) ◽  
pp. 562-565 ◽  
Author(s):  
M Steelman ◽  
C H Smith ◽  
A Menon ◽  
B T Thach ◽  
R E Hillman ◽  
...  

Abstract We have investigated the Kodak Ektachem 400 Analyzer procedure for CO2 for interferences from benzyl alcohol, benzoic acid, and several compounds structurally similar to benzoic acid. Benzoic acid in plasma, at concentrations found in neonates intoxicated with benzyl alcohol, caused a large increase in the results for CO2, as did substantially above-normal concentrations of certain fatty acids and keto-acids, and toxic concentrations of aspirin. We observed a correlation between increasing benzoic acid concentrations (up to 17 mmol/L) and falsely increasing CO2 values (greater than 47 mmol/L) obtained with the Ektachem Analyzer for samples from a neonate in the intensive-care unit, who was receiving benzyl alcohol-preserved saline solutions. Although the Ektachem CO2 procedure is simple and rapid, and in most cases accurate, questionable results are occasionally encountered, as indicated by a low anion gap or a measured CO2 exceeding that calculated from blood gas measurements. Such results require the use of another method for verification.


1976 ◽  
Vol 22 (8) ◽  
pp. 1399-1401 ◽  
Author(s):  
Z L Komjathy ◽  
J C Mathies ◽  
J A Parker ◽  
H A Schreiber

Abstract We describe an evaluation of the in-use stability and short-term precision of a three-level ampuled quality-control system for monitoring pH, pCO2, and pO2 measurements on clinical blood-gas analyzers. In three hospital laboratories, 324 such ampuls were opened and allowed to stand with their contents exposed to atmospheric conditions for accurately timed intervals up to 240 s. Contents were then analyzed for pH, pCO2, and pO2. Student's t-test was used to evaluate the significance of differences observed in recoveries after time exposure. At a signifcance level of P less than or equal to 0.05, the only significant changes observed throughout the first minute of exposure were average pO2 increases of 180 Pa (1.4 mmHg) (+ 1.4%) and 230 Pa (1.7 mmHg) (+ 2.9%) at levels of 13.4 and 7.7 kPa kPa (101 and 58 mmHg), respectively. The ampuled system was found to be stable precise convenient, and suitable for use in the routine laboratory.


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