J Clin Diagn Res. 2017 Mar;11(3):OC43-OC46. doi: 10.7860/JCDR/2017/23473.9547. Epub 2017 Mar 01.
Agreement and Correlation between Arterial and Central Venous Blood Gas Following Coronary Artery Bypass Graft Surgery.
Journal of clinical and diagnostic research : JCDR
Masoumeh Esmaeilivand, Alireza Khatony, Gholamreza Moradi, Farid Najafi, Alireza Abdi
Affiliations
Affiliations
- Lecturer, Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
- Associate Professor, Department of Nursing, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
- Assistant Professor, Department of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
- Professor, Department of Epidemiology, Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran.
- Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
PMID: 28511435
PMCID: PMC5427361 DOI: 10.7860/JCDR/2017/23473.9547
Abstract
INTRODUCTION: Arterial blood sampling, used to assess patients in acute conditions, may result in complications such as thrombosis and embolism. However, it can be replaced by venous blood sampling, but there is a dearth of information on this.
AIM: To assess the correlation and agreement between the arterial and central venous blood gases analyses in patients undergoing elective Coronary Artery Bypass Graft (CABG) surgery.
MATERIALS AND METHODS: In this cross-sectional study, 100 ICU patients undergoing elective CABG surgery were recruited. 2 mm arterial and a 2 mm venous blood samples were obtained from each patient's arterial and central venous lines, respectively. To predict Arterial Blood Gas (ABG) values based on central Venous Blood Gas (VBG) values, the linear regression analysis was used and for evaluating their agreement Bland-Altman method was used.
RESULTS: In total of 200 samples were obtained. The mean and Standard Deviation (SD) of age was 58.9±9.1 years and 51% of the participants were female. There was a strong correlation between ABG and central VBG values regarding pH, partial Pressure of Carbon Dioxide (PCO
CONCLUSION: Central VBG analysis cannot replace ABG analysis in measuring exact PO
Keywords: Arterial blood gas; Blood gas analysis; Venous blood; Venous blood gas
References
- Emerg Med Australas. 2006 Feb;18(1):64-7 - PubMed
- Eur J Emerg Med. 2008 Apr;15(2):86-91 - PubMed
- Emerg Med J. 2016 Feb;33(2):152-4 - PubMed
- Am J Emerg Med. 2012 Oct;30(8):1371-7 - PubMed
- Emerg Med Australas. 2010 Dec;22(6):493-8 - PubMed
- Tohoku J Exp Med. 2006 Dec;210(4):285-90 - PubMed
- J Emerg Med. 2002 Jan;22(1):15-9 - PubMed
- Eur J Emerg Med. 2010 Oct;17(5):246-8 - PubMed
- J Emerg Med. 2005 May;28(4):377-9 - PubMed
- Am J Emerg Med. 2012 Jul;30(6):896-900 - PubMed
- Arch Surg. 2005 Nov;140(11):1122-5 - PubMed
- J Res Med Sci. 2011 Feb;16(2):188-94 - PubMed
- Emerg Med J. 2001 Sep;18(5):340-2 - PubMed
- Acta Anaesthesiol Taiwan. 2010 Sep;48(3):136-9 - PubMed
- Emerg Med J. 2006 Aug;23(8):622-4 - PubMed
- J Intensive Care Med. 2010 Mar-Apr;25(2):104-10 - PubMed
- Saudi Med J. 2007 Jun;28(6):862-5 - PubMed
- Clin J Am Soc Nephrol. 2010 Mar;5(3):390-4 - PubMed
- Respiration. 2011;81(1):18-25 - PubMed
- Eur J Emerg Med. 2014 Apr;21(2):81-8 - PubMed
Publication Types