A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional Study
Aim:This study aimed to determine the agreement between arterial blood gas (ABG) and venous blood gas (VBG) analyses in a pathologically diverse patient population who presented to the emergency department.Materials and Methods:This cross-sectional study was conducted in the emergency department of...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-09-01
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| Series: | Eurasian Journal of Emergency Medicine |
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http://akademikaciltip.com/archives/archive-detail/article-preview/a-comparison-of-arterial-and-venous-blood-gas-anal/48962
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| author | Ram Kirubakar Thangaraj Hari Hara Sudhan Chidambaram Melvin Dominic V.P. Chandrasekaran Karthik Narayan Padmanabhan K.S. Chanjal |
| author_facet | Ram Kirubakar Thangaraj Hari Hara Sudhan Chidambaram Melvin Dominic V.P. Chandrasekaran Karthik Narayan Padmanabhan K.S. Chanjal |
| author_sort | Ram Kirubakar Thangaraj |
| collection | DOAJ |
| description | Aim:This study aimed to determine the agreement between arterial blood gas (ABG) and venous blood gas (VBG) analyses in a pathologically diverse patient population who presented to the emergency department.Materials and Methods:This cross-sectional study was conducted in the emergency department of a tertiary care hospital during the period from February 2019 to June 2020. A total of 113 patients presenting with various medical conditions confirmed on ABG by a physician were recruited. Both arterial and venous blood samples were collected for blood gas analysis. Using a Bland-Altman plot, data obtained were analyzed for agreement. IBM SPSS version 22 was used for the data analysis.Results:Among the 113 study participants, the arterial and venous pH values, base excess, and bicarbonate level show acceptably narrow 95% limits of agreement in the Bland–Altman plot (−0.06 to 0.08, −4.08 to 2.30, and −2.59 to 0.89, respectively). Agreement in partial pressure of oxygen and oxygen saturation measurements was poor (95% limits of agreement, −8.38 to 101.06 and 0.35 to 0.58, respectively). Agreement of partial pressure of carbon dioxide shows an acceptably narrow agreement (95% limits of agreement, −10.61 to −2.18).Conclusion:VBG analysis for pH, bicarbonate, and base excess may be a reliable substitute for ABG analysis in the initial evaluation of adult patients presenting to the emergency department. |
| first_indexed | 2024-04-10T13:39:53Z |
| format | Article |
| id | doaj.art-2d30d9d77dfb4e98b39bb1c7afe238e6 |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T13:39:53Z |
| publishDate | 2021-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-2d30d9d77dfb4e98b39bb1c7afe238e62023-02-15T16:11:12ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482021-09-0120317818210.4274/eajem.galenos.2021.8552013049054A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional StudyRam Kirubakar Thangaraj0Hari Hara Sudhan Chidambaram1Melvin Dominic2V.P. Chandrasekaran3Karthik Narayan Padmanabhan4K.S. Chanjal5 Department of Emergency Medicine, Vinayaka Mission Kirupananda Variyar Medical College & Hospital, Tamil, Nadu, India Department of Emergency Medicine, Vinayaka Mission Kirupananda Variyar Medical College & Hospital, Tamil, Nadu, India Department of Emergency Medicine, Vinayaka Mission Kirupananda Variyar Medical College & Hospital, Tamil, Nadu, India Department of Emergency Medicine, Vinayaka Mission Kirupananda Variyar Medical College & Hospital, Tamil, Nadu, India Department of Emergency Medicine, Vinayaka Mission Kirupananda Variyar Medical College & Hospital, Tamil, Nadu, India Department of Emergency Medicine, Vinayaka Mission Kirupananda Variyar Medical College & Hospital, Tamil, Nadu, India Aim:This study aimed to determine the agreement between arterial blood gas (ABG) and venous blood gas (VBG) analyses in a pathologically diverse patient population who presented to the emergency department.Materials and Methods:This cross-sectional study was conducted in the emergency department of a tertiary care hospital during the period from February 2019 to June 2020. A total of 113 patients presenting with various medical conditions confirmed on ABG by a physician were recruited. Both arterial and venous blood samples were collected for blood gas analysis. Using a Bland-Altman plot, data obtained were analyzed for agreement. IBM SPSS version 22 was used for the data analysis.Results:Among the 113 study participants, the arterial and venous pH values, base excess, and bicarbonate level show acceptably narrow 95% limits of agreement in the Bland–Altman plot (−0.06 to 0.08, −4.08 to 2.30, and −2.59 to 0.89, respectively). Agreement in partial pressure of oxygen and oxygen saturation measurements was poor (95% limits of agreement, −8.38 to 101.06 and 0.35 to 0.58, respectively). Agreement of partial pressure of carbon dioxide shows an acceptably narrow agreement (95% limits of agreement, −10.61 to −2.18).Conclusion:VBG analysis for pH, bicarbonate, and base excess may be a reliable substitute for ABG analysis in the initial evaluation of adult patients presenting to the emergency department. http://akademikaciltip.com/archives/archive-detail/article-preview/a-comparison-of-arterial-and-venous-blood-gas-anal/48962 blood gas analysisvenous blood gas analysisvenous and arterial blood samplingagreement |
| spellingShingle | Ram Kirubakar Thangaraj Hari Hara Sudhan Chidambaram Melvin Dominic V.P. Chandrasekaran Karthik Narayan Padmanabhan K.S. Chanjal A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional Study Eurasian Journal of Emergency Medicine blood gas analysis venous blood gas analysis venous and arterial blood sampling agreement |
| title | A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional Study |
| title_full | A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional Study |
| title_fullStr | A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional Study |
| title_full_unstemmed | A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional Study |
| title_short | A Comparison of Arterial and Venous Blood Gas Analysis and Its Interpretation in Emergency Department: A Cross-Sectional Study |
| title_sort | comparison of arterial and venous blood gas analysis and its interpretation in emergency department a cross sectional study |
| topic | blood gas analysis venous blood gas analysis venous and arterial blood sampling agreement |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/a-comparison-of-arterial-and-venous-blood-gas-anal/48962
|
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