Comparación de equipos para obtener muestras de sangre arterial
Comparison of Arterial Blood Sample Kits
N. Calaf, J. Giner, E. Codina, T. Feixas, M. González, P. Casan
Corresponding author
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
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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"apellidos" => "Feixas" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "González" ] 5 => array:4 [ "nombre" => "P." "apellidos" => "Casan" "email" => array:1 [ 0 => "pcasan@hsp.santpau.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "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" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "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" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Comparison of Arterial Blood Sample Kits" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-11-11" "fechaAceptado" => "2003-11-26" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec189837" "palabras" => array:4 [ 0 => "Gases arteriales" 1 => "Ionograma" 2 => "Variabilidad" 3 => "Equipos para muestras sanguíneas" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec189838" "palabras" => array:4 [ 0 => "Arterial blood gases" 1 => "Ionogram" 2 => "Variability" 3 => "Arterial blood sample kits" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">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</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inaccuracy in blood gas/pH measurements caused by the blood sample" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.H. Eichhorn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Med Technol" "fecha" => "1985" "volumen" => "2" "paginaInicial" => "23" "paginaFinal" => "26" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Normativa para la gasometría arterial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Rodríguez-Roisin" 1 => "A.G.N. Agustí" 2 => "F. Burgos" 3 => "P. Casan" 4 => "M. Perpiñá" 5 => "L. Sánchez-Agudo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1998" "volumen" => "34" "paginaInicial" => "142" "paginaFinal" => "153" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9611639" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Análisis comparativo de tres tipos de jeringas utilizadas habitualmente para gasometría arterial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Bosch" 1 => "F. Bauzá" 2 => "B. Togores" 3 => "A.G.N. Agustí" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1997" "volumen" => "33" "paginaInicial" => "331" "paginaFinal" => "334" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9410433" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comparison of syringes to collect blood for analysis of gases, electrolytes and glucose" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B.G. Carter" 1 => "J. Tibballs" 2 => "M. Hochmann" 3 => "A. Osbornes" 4 => "A. Chiriano" 5 => "G. Murray" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Anaesth Intens Care" "fecha" => "1994" "volumen" => "22" "paginaInicial" => "698" "paginaFinal" => "702" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blood gas analysis. Effect of air bubbles in syring and delay in estimation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.G. Mueller" 1 => "G.E. Lang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br Med J" "fecha" => "1982" "volumen" => "285" "paginaInicial" => "1659" "paginaFinal" => "1660" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000004000000008/v1_201307081405/S0300289604755489/v1_201307081405/es/main.assets" "Apartado" => array:4 [ "identificador" => "9217" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Notas clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000004000000008/v1_201307081405/S0300289604755489/v1_201307081405/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289604755489?idApp=UINPBA00003Z" ]
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| 2017 February | 2 | 13 | 15 |
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| 2016 December | 7 | 7 | 14 |
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| 2016 September | 16 | 33 | 49 |
| 2016 August | 25 | 14 | 39 |
| 2016 July | 26 | 14 | 40 |
| 2016 June | 17 | 6 | 23 |
| 2016 May | 20 | 19 | 39 |
| 2016 April | 10 | 0 | 10 |
| 2016 March | 5 | 2 | 7 |
| 2016 February | 9 | 4 | 13 |
| 2016 January | 21 | 14 | 35 |
| 2015 December | 19 | 11 | 30 |
| 2015 November | 29 | 12 | 41 |
| 2015 October | 128 | 2 | 130 |
| 2015 September | 125 | 0 | 125 |
| 2015 August | 149 | 0 | 149 |
| 2015 July | 129 | 0 | 129 |
| 2015 June | 110 | 0 | 110 |
| 2015 May | 144 | 0 | 144 |
| 2015 April | 123 | 0 | 123 |
| 2015 March | 102 | 0 | 102 |
| 2015 February | 121 | 0 | 121 |
| 2015 January | 88 | 0 | 88 |
| 2014 December | 118 | 0 | 118 |
| 2014 November | 112 | 0 | 112 |
| 2014 October | 159 | 0 | 159 |
| 2014 September | 125 | 0 | 125 |
| 2014 August | 129 | 0 | 129 |
| 2014 July | 123 | 0 | 123 |
| 2014 June | 114 | 0 | 114 |
| 2014 May | 125 | 0 | 125 |
| 2014 April | 119 | 0 | 119 |
| 2014 March | 142 | 0 | 142 |
| 2014 February | 127 | 0 | 127 |
| 2014 January | 112 | 0 | 112 |
| 2013 December | 92 | 0 | 92 |
| 2013 November | 89 | 0 | 89 |
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| 2013 September | 110 | 0 | 110 |
| 2013 August | 140 | 0 | 140 |
| 2013 July | 130 | 0 | 130 |
| 2013 June | 114 | 0 | 114 |
| 2013 May | 122 | 0 | 122 |
| 2013 April | 88 | 0 | 88 |
| 2013 March | 47 | 0 | 47 |
| 2000 January | 6841 | 0 | 6841 |
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