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Urushidani S, Kuriyama A, Matsumura M. Clinical Utility of Venous Blood Gas Analysis for the Evaluation of Psychogenic Hyperventilation in the Emergency Department. Cureus. 2020;12(12):e12273doi: 10.7759/cureus.12273.
Urushidani, S., Kuriyama, A., & Matsumura, M. (2020). Clinical Utility of Venous Blood Gas Analysis for the Evaluation of Psychogenic Hyperventilation in the Emergency Department. Cureus, 12(12), e12273. https://doi.org/10.7759/cureus.12273
Urushidani, Seigo, et al. "Clinical Utility of Venous Blood Gas Analysis for the Evaluation of Psychogenic Hyperventilation in the Emergency Department." Cureus vol. 12,12 (2020): e12273. doi: https://doi.org/10.7759/cureus.12273
Urushidani S, Kuriyama A, Matsumura M. Clinical Utility of Venous Blood Gas Analysis for the Evaluation of Psychogenic Hyperventilation in the Emergency Department. Cureus. 2020 Dec 25;12(12):e12273. doi: 10.7759/cureus.12273. PMID: 33520489; PMCID: PMC7834592.
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Cureus. 2020 Dec 25;12(12):e12273. doi: 10.7759/cureus.12273.

Clinical Utility of Venous Blood Gas Analysis for the Evaluation of Psychogenic Hyperventilation in the Emergency Department.

Cureus

Seigo Urushidani, Akira Kuriyama, Masami Matsumura

Affiliations

  1. Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, JPN.
  2. Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, JPN.

PMID: 33520489 PMCID: PMC7834592 DOI: 10.7759/cureus.12273

Abstract

Background Patients with psychogenic hyperventilation frequently visit emergency departments (EDs). Arterial blood gas (ABG) analysis is performed to evaluate patients with dyspnea. This may show respiratory alkalosis in patients with hyperventilation. ABG may also reveal elevated serum lactate levels, although psychogenic hyperventilation syndrome is a benign condition. However, arterial puncture is a painful and risky procedure. We hypothesized that venous blood gas (VBG) analysis would be sufficient for evaluating patients with suspected psychogenic hyperventilation. Objectives To compare the clinical utility of VBG analysis with ABG analysis for evaluating psychogenic hyperventilation. Methods This was a single-center retrospective cross-sectional study of patients aged ≥18 years with psychogenic hyperventilation attending a tertiary care hospital. We extracted data on age, sex, vital signs, blood gas components, and serum lactate. Spearman's rank correlation coefficient (ρ) was used to examine the associations between the serum lactate levels and the carbon dioxide partial pressure (PCO

Copyright © 2020, Urushidani et al.

Keywords: blood gas analysis; hyperlactatemia; hyperventilation; respiratory alkalosis

Conflict of interest statement

The authors have declared that no competing interests exist.

References

  1. Crit Care Med. 2009 May;37(5):1670-7 - PubMed
  2. Eur J Emerg Med. 2014 Apr;21(2):81-8 - PubMed
  3. Crit Care Med. 1991 Sep;19(9):1120-4 - PubMed
  4. J Bone Joint Surg Am. 1976 Mar;58(2):218-20 - PubMed
  5. Miner Electrolyte Metab. 1983;9(4-6):317-25 - PubMed
  6. N Engl J Med. 2014 Dec 11;371(24):2309-19 - PubMed
  7. BMJ Case Rep. 2013 May 09;2013: - PubMed
  8. Nephrol Dial Transplant. 2009 Mar;24(3):825-8 - PubMed
  9. Crit Care. 2013 Sep 11;17(5):R197 - PubMed
  10. Crit Care Med. 1992 Jan;20(1):80-93 - PubMed
  11. Emerg Med J. 2011 Apr;28(4):269-73 - PubMed
  12. PLoS One. 2015 Jun 25;10(6):e0129562 - PubMed
  13. Chest. 1998 Sep;114(3):748-51 - PubMed
  14. Bone Marrow Transplant. 2013 Mar;48(3):452-8 - PubMed

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