Singh Virendra, Khatana Shruti, Gupta Pranav
Department of Oral and Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.
Natl J Maxillofac Surg. 2013 Jul;4(2):136-41. doi: 10.4103/0975-5950.127641.
Arterial blood gas is an important routine investigation to monitor the acid-base balance of patients, effectiveness of gas exchange, and the state of their voluntary respiratory control. Majority of the oral and maxillofacial surgeons find it difficult to interpret and clinically correlate the arterial blood gas report in their everyday practice. This has led to underutilization of this simple tool. The present article aims to simplify arterial blood gas analysis for a rapid and easy bedside interpretation. In context of oral and maxillofacial surgery, arterial blood gas analysis plays a vital role in the monitoring of postoperative patients, patients receiving oxygen therapy, those on intensive support, or with maxillofacial trauma with significant blood loss, sepsis, and comorbid conditions like diabetes, kidney disorders, Cardiovascular system (CVS) conditions, and so on. The value of this analysis is limited by the understanding of the basic physiology and ability of the surgeon to interpret the report. Using a systematic and logical approach by using these steps would make the interpretation simple and easy to use for oral and maxillofacial surgeons.
动脉血气分析是监测患者酸碱平衡、气体交换有效性及自主呼吸控制状态的一项重要常规检查。大多数口腔颌面外科医生发现在日常临床工作中难以解读动脉血气报告并将其与临床情况相关联。这导致了这一简单工具未得到充分利用。本文旨在简化动脉血气分析，以便在床边进行快速、便捷的解读。在口腔颌面外科领域，动脉血气分析在监测术后患者、接受氧疗的患者、接受重症支持的患者，或伴有大量失血、脓毒症以及糖尿病、肾脏疾病、心血管系统疾病等合并症的颌面外伤患者时发挥着至关重要的作用。这种分析的价值受到外科医生对基本生理学的理解以及解读报告能力的限制。通过使用这些步骤采用系统且合乎逻辑的方法，将使口腔颌面外科医生进行解读变得简单且易于操作。
