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2011, Number 3

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Rev Med MD 2011; 2.3 (3)

Arterial Gasometry. Basic result interpretation and sample gathering

Miranda-De la Torre R , Ramírez-Ramírez FJ
Full text How to cite this article

Language: Spanish
References: 9
Page: 180-185
PDF size: 544.03 Kb.


Key words:

acid base disorders, anion gap, arterial gas, arterial gasometry, hypoxia, respiratory insufficiency.

ABSTRACT

An arterial gas blood test is a common hospital procedure that must be mastered and understood by the physician in training. Arterial gas blood test gives information about the patient´s respiratory and acid – base state. Oxygen, carbon dioxide and bicarbonate levels can be measured, among others. With these data, the type of the acid – base disorder can be identified (metabolic, respiratory or mixed). Value interpretation, along with other parameters such as Sodium (Na), Potassium (K), Chloride (Cl) and Albumin can help orient diagnosis as well as the anion gap. The main goal of this review is to illustrate in a simple manner to the training physician the use interpretation of arterial gasometry values, as well as describing the technique for sample gathering.


REFERENCES

  1. Guyton A., Capitulo 30. Regulación del equilibrio acidobásico publicado en Medical Phisiology, 11ª Edición, editorial Mosby.

  2. Hidalgo A., Mena M., et al, acidosis metabólica: un reto para los intensivistas, Rev Cubana Pediatr, 2005, 77 (2),

  3. Ramirez J., Brecha Aniónica Plasmática, Arch Argent pediat 2005, 103(1), 51- 56

  4. Blas M., Nava M., Brecha aniónica e hipoalbuminemia, Revista de la asociación Mexicana de Medicina Critica y Terapia Intensiva, 2006, vol. 20 núm. 4, 193-195

  5. Grocout M., Martin D., et al, Arterial Blood Gases and Oxygen Content in Climbers on Mount Everest, N Engl J Med, 2009, 360, 140-149 6. Eltzsching H., Carmeliet P., Hypoxia and Inflammation, N Engl J Med, 2011, 364, 656-665

  6. Dev S., Hillmer M., et al, Arterial Puncture for blood gas analysis, N Engl J Med, 2011, 364;5, e7

  7. Rodríguez R., Garcia A., et al, Gasometria Arterial, grupo de trabajo de la SEPAR para la practica de la gasometría arterial. Arch Bronconeumol 1998; 34: 142 – 153, Disponible en línea: http://www.separ.es/doc/publicaciones/normativa/normativa_006.pdf

  8. Casas Q., Contreras Z., et al, Diagnostico y manejo de la insuficiencia respiratoria aguda, neumología y cirugía de tórax, 2008, vol. 67(1), 24-33

  9. Carrillo S., Carrillo C., Carrillo C, Abordaje del Equilibrio ácido-base de acuerdo al modelo físico químico de Stewart, Medigraphic, 2007, volumen 14, núm. 2, 56-63




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Rev Med MD. 2011;2.3