Comparación de equipos para obtener muestras de sangre arterial

Calaf, N.; Giner, J.; Codina, E.; Feixas, T.; González, M.; Casan, P.

doi:10.1016/S0300-2896(04)75548-9

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Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

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Vol. 40. Issue 8.

Pages 378-380 (August 2004)

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Pages 378-380 (August 2004)

DOI: 10.1016/S0300-2896(04)75548-9

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Comparación de equipos para obtener muestras de sangre arterial

Comparison of Arterial Blood Sample Kits

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N. Calaf, J. Giner, E. Codina, T. Feixas, M. González, P. Casan

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pcasan@hsp.santpau.es

Correspondencia: Unitat de Funció Pulmonar. Departament de Pneumologia. Hospital de la Santa Creu i de Sant Pau.Sant Antoni M. Claret, 167. 08025 Barcelona. España

Unitat de Funció Pulmonar. Departament de Pneumologia. Hospital de la Santa Creu i de Sant Pau. Facultat de Medicina. Universitat Autónoma de Barcelona. Barcelona. España

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Abstract

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La mayor parte de la variabilidad en la determinación de los gases y electrolitos en muestras de sangre arterial es ”preanalítica“, y la participación del tipo de equipos utilizados en la obtención de las muestras sanguíneas es fundamental. Nuestro objetivo fue comparar diferentes equipos de obtención de muestras, en condiciones habituales de uso clínico, y analizar el impacto del retraso temporal en la lectura sobre la variabilidad de los resultados. Comparamos 5 equipos (Pico 70 de Radiometer, Preset-Becton Dickinson, Provent-Sims de Portex, Pulsator-Concord y Quick A.B.G. de Markest) en 2 tipos de estudio. En el primer caso, valoramos el uso práctico y la presencia de burbujas, en 160 pacientes consecutivos, estudiados de forma aleatoria. En el segundo caso, analizamos el efecto de un retraso de 30 y 60 min en la lectura y el tipo de heparina que contienen los equipos, en 54 muestras sanguíneas. Los equipos con menor número de burbujas, con mayor estabilidad de las muestras y con menor impacto en la concentración de iones fueron el Pico 70 de Radiometer y el Provent-Sims de Portex

Palabras clave:

Gases arteriales

Ionograma

Variabilidad

Equipos para muestras sanguíneas

Most inaccuracies in the analysis of gases and electrolytes in arterial blood samples are due to preanalytic factors, among which is the type of equipment used for blood collection. Our objective was to compare arterial blood gas sample kits used under clinical conditions and to evaluate the impact of delay in estimation on variability in results. In 2 types of study we compared 5 kits (Radiometer's Pico 70, Becton Dickinson's Preset, SIMS Portex's Pro-Vent, SIMS-Concord's Pulsator, and Marquest's Quick ABG). In the first study kitsyringe assignment was randomized for collecting arterial blood samples from 160 consecutive patients to evaluate practical aspects of using them and the presence of bubbles in the samples taken. The second study evaluated the effects of delays of 30 and 60 minutes in estimation and of the type of heparin used in 54 blood samples. The kits which produced the fewest bubbles, gave samples with the greatest stability, and had the least impact on ion concentration were Radiometer's Pico 70 and SIMS-Portex's Pro-vent

Keywords:

Arterial blood gases

Ionogram

Variability

Arterial blood sample kits

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Bibliografía

[1.]

J.H. Eichhorn.

Inaccuracy in blood gas/pH measurements caused by the blood sample.

J Med Technol, 2 (1985), pp. 23-26

[2.]