Reevaluation of the utilization of arterial blood gas analysis in the Intensive Care Unit: Effects on patient safety and patient outcome

Blum, F.; Lund, Elisa Takalo; Hall, Heather; Tachauer, Allan; Chedrawy, Edgar G.; Zilberstein, Jeffrey

doi:10.1016/j.jcrc.2014.10.025

Cited by 21 publications

(17 citation statements)

References 11 publications

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“…We agree in every respect with the comments of Dr Blum and colleagues [1] on our article [2]. Their plea for wise selection of testing actually mirrors our statement that one should determine "what constitutes appropriate laboratory testing."…”

Section: Replysupporting

confidence: 65%

Contemporary Bloodletting in Cardiac Surgical Patients

Blum

McCurdy

Hall

et al. 2015

The Annals of Thoracic Surgery

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Section: Replysupporting

confidence: 65%

Contemporary Bloodletting in Cardiac Surgical Patients

Blum

McCurdy

Hall

et al. 2015

The Annals of Thoracic Surgery

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“…In the present study, we tested preterm infants in the two groups using the arterial blood gas (ABG) test. The ABG test is one of the most widely used tests in cases of respiratory distress syndrome, as it provides essential information concerning gas exchange across the alveolar-capillary membrane ( 14 ). It measures PaO 2 , PaCO 2 , and the pH of an arterial blood sample.…”

Section: Discussionmentioning

confidence: 99%

Different ventilation modes combined with ambroxol in the treatment of respiratory distress syndrome in premature infants

Zhou

Zhai

et al. 2016

Experimental and Therapeutic Medicine

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The aim of the present study was to compare the effectiveness of different modes of mechanical ventilation in combination with secretolytic therapy with ambroxol in premature infants with respiratory distress syndrome. Seventy-three premature infants with hyaline membrane disease (HMD) (stage III–IV), also known as respiratory distress syndrome, who were supported by mechanical ventilation in the neonatal intensive care unit (NICU) of Xuzhou Central Hospital, were involved in the present study, between January 2013 and February 2015. Forty cases were randomly selected and treated with high frequency oscillatory ventilation (HFOV), forming the HFOV group, whereas 33 cases were selected and treated with conventional mechanical ventilation (CMV), forming the CMV group. Patients in the two groups were administered ambroxol intravenously at a dosage rate of 30 mg/kg body weight at the beginning of the study. The present study involved monitoring the blood gas index as well as changes in the respiratory function index in the two groups. Additionally, the incidence of complications in the premature infants in the two groups was observed prior to and following the ventilation. Pulmonary arterial oxygen tension (PaO2), the PaO2/fraction of inspired oxygen (FiO2) ratio, the oxygenation index [OI = 100 × mean airway pressure (MAP) × FiO2/PaO2], as well as the arterial/alveolar oxygen partial pressure ratio (a/APO2) = PaO2/(713 × FiO2 partial pressure of carbon dioxide (PaCO2)/0.8) of the patients in the HFOV group after 1, 12 and 24 h of treatment were significantly improved as compared to the patients of the CMV group. However, there was no significant difference between patients in the two groups with regard to the number of mortalities, complications such as pneumothorax, bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP), intraventricular hemorrhage (IVH), periventricular leukomalacia (PVL), and the time of ventilation. In conclusion, combining HFOV with ambroxol secretolytic therapy is a more viable option, as the combined treatment resulted in significant improvements in arterial blood gas levels, oxygenation and the respiratory function of lungs in preterm infants.

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“…The scope of these studies was limited to single parameters like change in ventilator settings, 8 patient safety, and outcome. 9 None of the studies discussed the reason for ordering ABGs, whether these ABGs were intervened or not.…”

Section: Discussionmentioning

confidence: 99%

Clinical Utility of Arterial Blood Gas Test in an Intensive Care Unit: An Observational Study

Chandran

D'Silva

Subramaniam

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract Background Arterial blood gas (ABG) analysis is a common test ordered in critically ill patients. Often, it is performed very frequently without influencing patient care. Hence, we decided to check the utility of the ABG test in our intensive care unit (ICU). Materials and methods The data of the previous day ABGs were captured by reviewing the chart in an online pro forma which was filled by the authors. Data relating to patient's details, who ordered ABGs, reason for ordering ABGs, and did the ABG influence patient's management were entered. A total of 985 ABGs were performed in 173 patients for 2 months which was analyzed. Results Out of 985 ABGs, in 259 instances (26.29%), interventions were done after reviewing an ABG. The major interventions among these ABGs were ventilator settings adjustment in 134 ABGs (13.6%). A total of 790 ABGs were done routinely with no specific indication (80.20%), while doctors ordered one following an event for 195 ABGs (19.80%). Conclusion Our data suggest that 80% of ABG tests were ordered as part of a routine test. How to cite this article Chandran J, D'Silva C, Sriram S, Krishna B. Clinical Utility of Arterial Blood Gas Test in an Intensive Care Unit: An Observational Study. Indian J Crit Care Med 2021;25(2):172–175.

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Reevaluation of the utilization of arterial blood gas analysis in the Intensive Care Unit: Effects on patient safety and patient outcome

Cited by 21 publications

References 11 publications

Contemporary Bloodletting in Cardiac Surgical Patients

Contemporary Bloodletting in Cardiac Surgical Patients

Different ventilation modes combined with ambroxol in the treatment of respiratory distress syndrome in premature infants

Clinical Utility of Arterial Blood Gas Test in an Intensive Care Unit: An Observational Study

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