Impacto del tiempo entre la extracción y el análisis de la gasometría arterial en la práctica clínica

Gómez-García, A. C.; Albi, Tomás Ruíz; Plaza, José Ignacio Santos; Sedano, Andrea Crespo; Fernández, Antonio; Muñiz, Graciela López; Castro, Tania Álvaro de; Gutiérrez, Pilar Revilla; Muñoz, Josefa Villar; González, Gloria Martínez; Campo, Félix del

doi:10.1016/j.arbres.2019.02.022

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“…Regarding the pH and pO 2 values, we observed a decrease, as well as an increase in pCO 2 after 60 min. These results differ from those obtained in the study by [ 8 ] carried out with a maximum time frame of 30 min, compared to our study that presents longer time intervals. The results are discordant even for 30 min tests.…”

Section: Discussioncontrasting

confidence: 99%

Analysis of Arterial Blood Gas Values Based on Storage Time Since Sampling: An Observational Study

et al. 2021

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Aim. To evaluate the influence of time on arterial blood gas values after artery puncture is performed. Method. Prospective longitudinal observational study carried out with gasometric samples from 86 patients, taken at different time intervals (0 (T0), 15 (T15), 30 (T30) and 60 (T60) min), from 21 October 2019 to 21 October 2020. The study variables were: partial pressure of carbon dioxide, bicarbonate, hematocrit, hemoglobin, potassium, lactic acid, pH, partial pressure of oxygen, saturation of oxygen, sodium and glucose. Results. The initial sample consisted of a total of 90 patients. Out of all the participants, four were discarded as they did not understand the purpose of the study; therefore, the total number of participants was 86, 51% of whom were men aged 72.59 on average (SD: 16.23). In the intra-group analysis, differences in PCO2, HCO3, hematocrit, Hb, K+ and and lactic acid were observed between the initial time of the test and the 15, 30 and 60 min intervals. In addition, changes in pH, pO2, SO2, Na and glucose were noted 30 min after the initial sample had been taken. Conclusions. The variation in the values, despite being significant, has no clinical relevance. Consequently, the recommendation continues to be the analysis of the GSA at the earliest point to ensure the highest reliability of the data and to provide the patient with the most appropriate treatment based on those results.

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Section: Discussioncontrasting

confidence: 99%