Technical Note
Comparison of Arterial Blood Sample Kits
N. Calaf, J. Giner, E. Codina, T. Feixas, M. González, P. Casan
Corresponding author
pcasan@hsp.santpau.es
Correspondence: Dr. P. Casan. Unitat de Funció Pulmonar. Departament de Pneumologia. Hospital de la Santa Creu i de Sant Pau. a Sant Antoni M. Claret, 167. 08025 Barcelona. España
Correspondence: Dr. P. Casan. Unitat de Funció Pulmonar. Departament de Pneumologia. Hospital de la Santa Creu i de Sant Pau. a 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, Spain
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"apellidos" => "Codina" ] 3 => array:2 [ "nombre" => "T." "apellidos" => "Feixas" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "González" ] 5 => array:5 [ "preGrado" => "Dr." "nombre" => "P." "apellidos" => "Casan" "email" => array:1 [ 0 => "pcasan@hsp.santpau.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] ] "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, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. P. Casan. Unitat de Funció Pulmonar. Departament de Pneumologia. Hospital de la Santa Creu i de Sant Pau. a Sant Antoni M. Claret, 167. 08025 Barcelona. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-11-11" "fechaAceptado" => "2003-11-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153586" "palabras" => array:4 [ 0 => "Arterial blood gases" 1 => "Ionogram" 2 => "Variability" 3 => "Arterial blood sample kits" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153587" "palabras" => array:4 [ 0 => "Gases arteriales" 1 => "Ionograma" 2 => "Variabilidad" 3 => "Equipos para muestras sanguíneas." ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p 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 kit 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>" ] "es" => array:1 [ "resumen" => "<p 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, Pro vent-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>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib1" "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 => "JH 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" => "bib2" "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 => "AGN 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" => "bib3" "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 => "AGN 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" => "bib4" "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 => "BG 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" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blood gas analysis: effect of air bubbles in syringe and delay in estimation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "RG Mueller" 1 => "GE Lang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br Med J" "fecha" => "1982" "volumen" => "285" "paginaInicial" => "1659" "paginaFinal" => "1660" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000004000000008/v1_201305150106/S1579212906603248/v1_201305150106/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004000000008/v1_201305150106/S1579212906603248/v1_201305150106/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906603248?idApp=UINPBA00003Z" ]
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