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Peripheral venous blood gas analysis: An alternative to arterial blood gas analysis for initial assessment and resuscitation in emergency and intensive care unit patients.外周静脉血气分析：急诊科和重症监护病房患者初始评估及复苏时动脉血气分析的替代方法
Anesth Essays Res. 2013 Sep-Dec;7(3):355-8. doi: 10.4103/0259-1162.123234.
2
A comparative study on reliability of point of care sodium and potassium estimation in a pediatric intensive care unit.床边即时钠离子和钾离子检测在儿科重症监护病房的可靠性比较研究。
Indian J Pediatr. 2013 Sep;80(9):731-5. doi: 10.1007/s12098-013-0977-z. Epub 2013 Feb 8.
3
Use of a blood gas analyzer and a laboratory autoanalyzer in routine practice to measure electrolytes in intensive care unit patients.在常规实践中使用血气分析仪和实验室自动分析仪测量重症监护病房患者的电解质。
BMC Anesthesiol. 2012 Aug 3;12:17. doi: 10.1186/1471-2253-12-17.
4
Are arterial and venous samples clinically equivalent for the estimation of pH, serum bicarbonate and potassium concentration in critically ill patients?在危重症患者中，动脉血和静脉血样本在估计 pH 值、血清碳酸氢盐和钾浓度方面是否具有临床等效性？
Diabet Med. 2012 Jan;29(1):32-5. doi: 10.1111/j.1464-5491.2011.03390.x.
5
Electrolytes assessed by point-of-care testing - Are the values comparable with results obtained from the central laboratory?即时检验评估的电解质——这些值与中心实验室获得的结果可比吗？
Indian J Crit Care Med. 2011 Jan;15(1):24-9. doi: 10.4103/0972-5229.78219.
6
Fluid and electrolyte disturbances in critically ill patients.危重症患者的体液和电解质紊乱
Electrolyte Blood Press. 2010 Dec;8(2):72-81. doi: 10.5049/EBP.2010.8.2.72. Epub 2010 Dec 31.
7
Comparison of the point-of-care blood gas analyzer versus the laboratory auto-analyzer for the measurement of electrolytes.即时检验血气分析仪与实验室自动分析仪在电解质测量方面的比较。
Int J Emerg Med. 2009 Feb 24;2(2):117-20. doi: 10.1007/s12245-009-0091-1.
8
Use of rapid ABG analyzer in measurement of potassium concentration: does it agree with venous potassium concentration?快速动脉血气分析仪在钾浓度测量中的应用：它与静脉血钾浓度一致吗？
J Med Assoc Thai. 2009 Jul;92(7):925-9.
9
Clinical evaluation of the ABL-77 for point-of-care analysis in the cardiovascular operating room.ABL-77在心血管手术室进行即时检测分析的临床评估。
J Extra Corpor Technol. 2006 Jun;38(2):128-33.
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Comparability of point-of-care whole-blood electrolyte and substrate testing using a Stat Profile Critical Care Xpress analyzer and standard laboratory methods.使用Stat Profile Critical Care Xpress分析仪和标准实验室方法进行即时全血电解质和底物检测的可比性。
Clin Chem Lab Med. 2006;44(7):898-903. doi: 10.1515/CCLM.2006.148.

重症监护病房患者动脉血钠和血钾水平与静脉血钠和血钾水平的一致性。

Agreement of arterial sodium and arterial potassium levels with venous sodium and venous potassium in patients admitted to intensive care unit.

作者信息

Nanda Sunil Kumar, Ray Lopamudra, Dinakaran Asha

机构信息

Associate Professor, Department of Biochemistry, Pondicherry Institute of Medical Sciences , Pondicherry, India .

Assistant Professor, Department of Biochemistry, Pondicherry Institute of Medical Sciences , Pondicherry, India .

出版信息

J Clin Diagn Res. 2015 Feb;9(2):BC28-30. doi: 10.7860/JCDR/2015/12418.5602. Epub 2015 Feb 1.

DOI:10.7860/JCDR/2015/12418.5602
PMID:25859448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4378730/
Abstract

INTRODUCTION

Electrolyte abnormalities are one of the common causes of morbidity and mortality in critically ill patients. The turnaround time for electrolyte reporting should be as low as possible. Electrolytes are measured conventionally in serum obtained from venous blood by electrolyte analyser which takes 20 to 30 min. Point of care analysers are now available where in electrolytes can be measured in arterial blood within 5 min. This study was done to study the agreement of arterial sodium and arterial potassium with venous sodium and venous potassium levels.

MATERIALS AND METHODS

Venous sodium and venous potassium levels and arterial sodium and arterial potassium levels were analysed on 206 patient samples admitted to Intensive Care Unit (ICU). The venous values were compared with the arterial values for correlation. Venous sodium was compared with arterial sodium by spearman correlation. Venous potassium was compared with arterial potassium by pearson correlation.

RESULTS

The mean value of arterial sodium was 134 and venous sodium was 137. The mean value of arterial potassium was 3.6 and venous potassium was 4.1. The correlation coefficient obtained for sodium was 0.787 and correlation coefficient obtained for potassium was 0.701. There was positive correlation of arterial sodium and arterial potassium with venous sodium and venous potassium indicating agreement between the parameters.

CONCLUSION

Arterial sodium and arterial potassium can be used instead of venous sodium and venous potassium levels in management of critically ill patients.

摘要

引言

电解质异常是危重症患者发病和死亡的常见原因之一。电解质报告的周转时间应尽可能短。传统上，电解质是通过电解质分析仪在从静脉血获取的血清中进行测量的，这需要20到30分钟。现在有了即时检验分析仪，可以在5分钟内对动脉血中的电解质进行测量。本研究旨在探讨动脉血钠和动脉血钾与静脉血钠和静脉血钾水平的一致性。

材料与方法

对入住重症监护病房（ICU）的206例患者样本进行静脉血钠和静脉血钾水平以及动脉血钠和动脉血钾水平分析。将静脉血值与动脉血值进行相关性比较。静脉血钠与动脉血钠采用斯皮尔曼相关性分析。静脉血钾与动脉血钾采用皮尔逊相关性分析。

结果

动脉血钠平均值为134，静脉血钠平均值为137。动脉血钾平均值为3.6，静脉血钾平均值为4.1。钠的相关系数为0.787，钾的相关系数为0.701。动脉血钠和动脉血钾与静脉血钠和静脉血钾呈正相关，表明各参数之间具有一致性。

结论

在危重症患者的管理中，可以使用动脉血钠和动脉血钾代替静脉血钠和静脉血钾水平。