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通气兔血气分析采血的适宜时机。

Appropriate timing of blood sampling for blood gas analysis in the ventilated rabbit.

作者信息

Sei Kiguna, Fujita Masanori, Okawa Shinpei, Hirasawa Takeshi, Kushibiki Toshihiro, Sasa Hidenori, Furuya Kenichi, Ishihara Miya

机构信息

Department of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Saitama, Japan.

Division of Environmental Medicine, National Defense Medical College Research Institute, Tokorozawa, Saitama, Japan.

出版信息

J Surg Res. 2016 Dec;206(2):325-336. doi: 10.1016/j.jss.2016.08.007. Epub 2016 Aug 9.

Abstract

BACKGROUND

Arterial and venous blood gas analyses (BGAs) are essential to evaluate devices that measure biological oxygenation. The appropriate timing of blood sampling for BGA after respiratory rate (RR) change in animal experiments has not been reported. This study investigated the appropriate timing of blood sampling for BGA in ventilated rabbits and whether venous samples are an alternative to arterial samples.

MATERIALS AND METHODS

Under general anesthesia, 14 rabbits (body weight, 3.02 ± 0.09 kg) were ventilated and their RR was changed (40/min, 30/min, and 20/min). Blood was sampled through cervical arterial and venous catheters. Experiment 1: in seven rabbits, arterial BGA was measured at 0, 0.5, 1, 2, 3, 5, 10, 15, and 20 min after the RR change. Experiment 2: in seven different rabbits, simultaneous arterial and venous BGA were measured at 0, 2, 5, 10, 15, and 20 min after the RR change.

RESULTS

Oxygen partial pressure (PO) and saturation (SO) of the arterial blood stabilized 0.5 min after the RR changed. In venous BGA, no index stabilized during observation. The arterial and venous values of the carbon dioxide partial pressure (PCO) and pH had significant correlations (arterial PCO = 0.9316 × venous PCO-4.4425 [r = 0.9178]; arterial pH = 1.0835 × venous pH-0.5795 [r = 0.9453]).

CONCLUSIONS

In ventilated rabbits, arterial PO and SO stabilized in 0.5 min. No venous value stabilized after the RR change. Only the PCO and pH of venous samples may be an alternative to arterial samples under the defined formula.

摘要

背景

动脉和静脉血气分析(BGA)对于评估测量生物氧合的设备至关重要。动物实验中呼吸频率(RR)改变后进行BGA血样采集的合适时机尚未见报道。本研究调查了通气兔进行BGA血样采集的合适时机,以及静脉样本是否可替代动脉样本。

材料与方法

在全身麻醉下,对14只兔(体重3.02±0.09千克)进行通气,并改变其RR(40次/分钟、30次/分钟和20次/分钟)。通过颈动静脉导管采集血样。实验1:对7只兔,在RR改变后0、0.5、1、2、3、5、10、15和20分钟测量动脉BGA。实验2:对另外7只不同的兔,在RR改变后0、2、5、10、15和20分钟同时测量动脉和静脉BGA。

结果

RR改变后0.5分钟,动脉血氧分压(PO)和饱和度(SO)稳定。在静脉BGA中,观察期间无指标稳定。动脉和静脉血二氧化碳分压(PCO)及pH值具有显著相关性(动脉PCO = 0.9316×静脉PCO - 4.4425 [r = 0.9178];动脉pH = 1.0835×静脉pH - 0.5795 [r = 0.9453])。

结论

在通气兔中,动脉PO和SO在0.5分钟内稳定。RR改变后静脉值无稳定情况。在特定公式下,仅静脉样本的PCO和pH值可替代动脉样本。

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