RT Journal Article
SR Electronic
T1 AARC Clinical Practice Guideline: Blood Gas Analysis and Hemoximetry: 2013
JF Respiratory Care
FD American Association for Respiratory Care
SP 1694
OP 1703
DO 10.4187/respcare.02786
VO 58
IS 10
A1 Michael D Davis
A1 Brian K Walsh
A1 Steve E Sittig
A1 Ruben D Restrepo
YR 2013
UL http://rc.rcjournal.com/content/58/10/1694.abstract
AB We searched MEDLINE, CINAHL, and Cochrane Library database for articles published between January 1990 and December 2012. The update of this clinical practice guideline is based on 237 clinical trials, 54 reviews, and 23 meta-analyses on blood gas analysis (BGA) and hemoximetry. The following recommendations are made following the Grading of Recommendations Assessment, Development, and Evaluation scoring system. BGA and hemoximetry are recommended for evaluating a patient's ventilatory, acid-base, and/or oxygenation status. BGA and hemoximetry are suggested for evaluating a patient's response to therapeutic interventions. BGA and hemoximetry are recommended for monitoring severity and progression of documented cardiopulmonary disease processes. Hemoximetry is recommended to determine the impact of dyshemoglobins on oxygenation. Capillary BGA is not recommended to determine oxygenation status. Central venous BGA and hemoximetry are suggested to determine oxygen consumption in the setting of early goal-directed therapies. For the assessment of oxygenation, a peripheral venous PO2 is not recommended as a substitute for an arterial blood measurement (PaO2). It is not recommended to use venous PCO2 and pH as a substitute for arterial blood measurement of PaCO2 and pH. It is suggested that hemoximetry is used in the detection and evaluation of shunts during diagnostic cardiac catheterization.