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Research ArticleClinical Practice Guidelines

AARC Clinical Practice Guidelines: Capillary Blood Gas Sampling for Neonatal and Pediatric Patients

Dana L Evans, Teresa A Volsko, Emily Capellari and Shawna L Strickland
Respiratory Care September 2022, 67 (9) 1190-1204; DOI: https://doi.org/10.4187/respcare.10151
Dana L Evans
System Respiratory Care, Advocate Aurora Health, Downers Grove, Illinois.
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Teresa A Volsko
The Centers, Cleveland, Ohio.
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Emily Capellari
Taubman Health Sciences Library, University of Michigan, Ann Arbor, Michigan.
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Shawna L Strickland
American Epilepsy Society, Chicago, Illinois, and Rush University, Chicago, Illinois.
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References

  1. 1.↵
    1. Rahimi S,
    2. Bidabadi E,
    3. Mashouf M,
    4. Seyed Saadat SM,
    5. Rahimi S
    . Prognostic value of arterial blood gas disturbances for in-hospital mortality in pediatric patients with severe traumatic brain injury. Acta Neurochir (Wien) 2014;156(1):187-192.
    OpenUrl
  2. 2.↵
    1. Matheson L,
    2. Stephenson M,
    3. Huber B
    . Reducing pain associated with arterial punctures for blood gas analysis. Pain Manag Nurs 2014;15(3):619-624.
    OpenUrl
  3. 3.↵
    1. Dogan OF,
    2. Demircin M,
    3. Ucar I,
    4. Duman U,
    5. Yilmaz M,
    6. Boke E
    . Iatrogenic brachial and femoral artery complications following venipuncture in children. Heart Surg Forum 2006;9(4):E675-E680.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.
    1. Barthwal MS
    . Analysis of arterial blood gases - a comprehensive approach. J Assoc Physicians India 2004;52:573-577.
    OpenUrlPubMed
  5. 5.↵
    1. Pape KE,
    2. Armstrong DL,
    3. Fitzhardinge PM
    . Peripheral median nerve damage secondary to brachial arterial blood gas sampling. J Pediatr 1978;93(5):852-856.
    OpenUrlPubMedWeb of Science
  6. 6.↵
    1. Richter S,
    2. Kerry C,
    3. Hassan N,
    4. Chari A,
    5. Lunn D,
    6. Nickol A
    . Capillary blood gas as a substitute for arterial blood gas: a meta-analysis. Br J Hosp Med (Lond) 2014;75(3):136-142.
    OpenUrl
  7. 7.↵
    1. Zavorsky GS,
    2. Cao J,
    3. Mayo NE,
    4. Gabbay R,
    5. Murias JM
    . Arterial versus capillary blood gases: a meta-analysis. Respir Physiol Neurobiol 2007;155(3):268-279.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Kisling JA,
    2. Schrenier RL
    . Techniques of obtaining arterial blood from newborn infants. Respir Care 1977;22(5):513-518.
    OpenUrl
  9. 9.↵
    1. Folk LA
    . Guide to capillary heelstick blood sampling in infants. Adv Neonatal Care 2007;7(4):171-178.
    OpenUrlCrossRefPubMed
  10. 10.↵
    1. Hunt CE
    . Capillary blood sampling in the infant: usefulness and limitations of two methods of sampling, compared with arterial blood. Pediatrics 1973;51(3):501-506.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. Adrogué HJ,
    2. Rashad MN,
    3. Gorin AB,
    4. Yacoub J,
    5. Madias NE
    . Assessing acid-base status in circulatory failure. Differences between arterial and venous blood. N Engl J Med 1989;320(20):1312-1316.
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Bower LK,
    2. Barnhart SL,
    3. Betit P,
    4. Hendon B,
    5. Masi-Lynch J,
    6. Wilson BG
    . AARC clinical practice guideline: capillary blood gas sampling for neonate & pediatric patients. Respir Care 1994;39(12):1180-1183.
    OpenUrlPubMed
  13. 13.↵
    1. Bower LK,
    2. Barnhart SL,
    3. Betit P,
    4. Hendon B,
    5. Masi-Lynch J,
    6. Wilson BG
    . AARC clinical practice guideline: capillary blood gas sampling for neonate & pediatric patients. Respir Care 2001;46(5):506-513.
    OpenUrl
  14. 14.↵
    1. Fitch K,
    2. Bernstein SJ,
    3. Aguilar MD,
    4. Burnand B,
    5. LaCalle JR,
    6. Lazaro P
    . The RAND/UCLA appropriateness method user's manual. Santa Monica, CA: RAND; 2001.
  15. 15.↵
    1. McLain BI,
    2. Evans J,
    3. Dear PR
    . Comparison of capillary and arterial blood gas measurements in neonates. Arch Dis Child 1988;63(7 Spec No):743-747.
    OpenUrlAbstract/FREE Full Text
  16. 16.↵
    1. Saili A,
    2. Dutta AK,
    3. Sarna MS
    . Reliability of capillary blood gas estimations in neonates. Indian Pediatr 1992;29(5):567-570.
    OpenUrlPubMed
  17. 17.↵
    1. Yang K-C,
    2. Su B-H,
    3. Tsai F-J,
    4. Peng C-T
    . The comparison between capillary blood sampling and arterial blood sampling in an NICU. Acta Paediatr Taiwan 2002;43(3):124-126.
    OpenUrlPubMed
  18. 18.↵
    1. Escalante-Kanashiro R,
    2. Tantaleán-Da-Fieno J
    . Capillary blood gases in a pediatric intensive care unit. Crit Care Med 2000;28(1):224-226.
    OpenUrlCrossRefPubMedWeb of Science
  19. 19.↵
    1. Harrison AM,
    2. Lynch JM,
    3. Dean JM,
    4. Witte MK
    . Comparison of simultaneously obtained arterial and capillary blood gases in pediatric intensive care unit patients. Crit Care Med 1997;25(11):1904-1908.
    OpenUrlCrossRefPubMedWeb of Science
  20. 20.↵
    1. Kirubakaran C,
    2. Gnananayagam JEJ,
    3. Sundaravalli EK
    . Comparison of blood gas values in arterial and venous blood. Indian J Pediatr 2003;70(10):781-785.
    OpenUrlPubMed
  21. 21.↵
    1. Tan RNGB,
    2. Pauws SC,
    3. van Loon E,
    4. Smits VEHJ,
    5. Lopriore E,
    6. Te Pas AB
    . Correlation and interchangeability of venous and capillary blood gases in non-critically ill neonates. Front Pediatr 2018;6:89.
    OpenUrl
  22. 22.↵
    1. Fauchère JC,
    2. Bauschatz AS,
    3. Arlettaz R,
    4. Zimmermann-Bär U,
    5. Bucher HU
    . Agreement between capillary and arterial lactate in the newborn. Acta Paediatr 2002;91(1):78-81.
    OpenUrlPubMed
  23. 23.↵
    1. Volsko TA,
    2. Chatburn RL,
    3. El-Khatib MF
    1. Delost M
    . Blood gas and critical care analyte analysis. In: Volsko TA, Chatburn RL, El-Khatib MF. editors. Equipment for respiratory care. Burlington, MA: Jones and Bartlett; 2016:151-174.
  24. 24.↵
    1. Flemming K,
    2. Volsko TA
    . Cardiopulmonary monitoring. In: Volsko TA, Barnhart SL, editors. Foundations in neonatal and pediatric respiratory care. Burlington, MA: Jones and Bartlett; 2020:303-329.
  25. 25.↵
    1. Patel H,
    2. Ryan SW,
    3. McLain B
    . Sources of error in neonatal blood sampling. Arch Dis Child 1988;63(7 Spec No):752-753.
    OpenUrlAbstract/FREE Full Text
  26. 26.↵
    1. Pupek A,
    2. Matthewson B,
    3. Whitman E,
    4. Fullarton R,
    5. Chen Y
    . Comparison of pneumatic tube system with manual transport for routine chemistry, hematology, coagulation and blood gas tests. Clin Chem Lab Med 2017;55(10):1537-1544.
    OpenUrl
  27. 27.↵
    1. Knowles TP,
    2. Mullin RA,
    3. Hunter JA,
    4. Douce FH
    . Effects of syringe material, sample storage time, and temperature on blood gases and oxygen saturation in arterialized human blood samples. Respir Care 2006;51(7):732-736.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    1. Hess DR,
    2. MacIntyre NR,
    3. Galvin WF,
    4. Mishoe SC, editors
    1. Mishoe SC
    . Arterial blood gas sampling, analysis, and interpretation. In: Hess DR, MacIntyre NR, Galvin WF, Mishoe SC, editors. Respiratory care principles and practice. 4th edition. Burlington, MA: Jones and Bartlett; 2021: 57-84.
  29. 29.↵
    1. Bird CM,
    2. Revill SM,
    3. Vara DD,
    4. Morgan MD
    . The effect of a time delay on the measurement of capillary blood gases. Respir Med 1996;90(2):107-109.
    OpenUrlPubMed
  30. 30.↵
    1. Srisan P,
    2. Udomsri T,
    3. Jetanachai P,
    4. Lochindarat S,
    5. Kajanapattanakul W
    . Effects of temperature and time delay on arterial blood gas and electrolyte measurements. J Med Assoc Thai 2011;94(Suppl 3):S9-S14.
    OpenUrl
  31. 31.↵
    CLSI. Blood gas and pH analysis and related measurements; approved guideline. 2nd edition. CLSI document C46–A2. Wayne, PA: Clinical and Laboratory Standards Institute; 2009.
  32. 32.↵
    1. Combs K,
    2. Delost M
    . Blood gas analysis and critical care analyte analysis. In: Volsko TA, Chatburn RL, El-Khatib M, editors. Equipment for respiratory care. 2nd edition. Burlington, MA: Jones and Bartlett; 2020:181-205.
  33. 33.↵
    1. Gonsalves S,
    2. Mercer J
    . Physiological correlates of painful stimulation in preterm infants. Clin J Pain 1993;9(2):88-93.
    OpenUrlPubMedWeb of Science
  34. 34.↵
    1. Erkut Z,
    2. Yildiz S
    . The effect of swaddling on pain, vital signs, and crying duration during heel lance in newborns. Pain Manag Nurs 2017;18(5):328-336.
    OpenUrl
  35. 35.↵
    1. Shao-Hui S,
    2. Ying-Li L,
    3. Hayter M,
    4. Ruey-Hsia W
    . Efficacy of swaddling and heel warming on pain response to heel stick in neonates: a randomised control trial. J Clin Nurs 2014;23(21-22):3107-3114.
    OpenUrlCrossRefPubMed
  36. 36.↵
    1. Davari S,
    2. Borimnejad L,
    3. Khosravi S,
    4. Haghani H
    . The effect of the facilitated tucking position on pain intensity during heel stick blood sampling in premature infants: a surprising result. J Matern Fetal Neonatal Med 2019;32(20):3427-3430.
    OpenUrl
  37. 37.↵
    1. Im H,
    2. Kim E,
    3. Park E,
    4. Sung K,
    5. Oh W
    . Pain reduction of heel stick in neonates: Yakson compared to non-nutritive sucking. J Trop Pediatr 2008;54(1):31-35.
    OpenUrlCrossRefPubMed
  38. 38.↵
    1. Leng H-Y,
    2. Zheng X-L,
    3. Zhang X-H,
    4. He H-Y,
    5. Tu G-F,
    6. Fu Q,
    7. et al
    . Combined non-pharmacological interventions for newborn pain relief in two degrees of pain procedures: a randomized clinical trial. Eur J Pain 2016;20(6):989-997.
    OpenUrl
  39. 39.↵
    1. Gao H,
    2. Li M,
    3. Gao H,
    4. Xu G,
    5. Li F,
    6. Zhou J,
    7. et al
    . Effect of non-nutritive sucking and sucrose alone and in combination for repeated procedural pain in preterm infants: a randomized controlled trial. Int J Nurs Stud 2018;83:25-33.
    OpenUrl
  40. 40.↵
    1. Aguilar Cordero MJ,
    2. Mur Villar N,
    3. García García I,
    4. Rodríguez López MA,
    5. Rizo Baeza MM
    . Oral glucose and breast milk as a strategy for pain reduction during the heel lance procedure in newborns. Nutr Hosp 2014;30(5):1071-1076.
    OpenUrl
  41. 41.↵
    1. Jain S,
    2. Kumar P,
    3. McMillan DD
    . Prior leg massage decreases pain responses to heel stick in preterm babies. J Paediatr Child Health 2006;42(9):505-508.
    OpenUrlCrossRefPubMedWeb of Science
  42. 42.↵
    1. Herrington CJ,
    2. Chiodo LM
    . Human touch effectively and safely reduces pain in the newborn intensive care unit. Pain Manag Nurs 2014;15(1):107-115.
    OpenUrl
  43. 43.↵
    1. Marofi M,
    2. Nikobakht F,
    3. Badiee Z,
    4. Golchin M
    . The effect of melody on the physiological responses of heel sticks pain in neonates. Iran J Nurs Midwifery Res 2015;20(3):405-408.
    OpenUrl
  44. 44.↵
    1. Usta C,
    2. Tanyeri-Bayraktar B,
    3. Bayraktar S
    . Pain control with lavender oil in premature infants: a double-blind randomized controlled study. J Altern Complement Med 2021;27(2):136-141.
    OpenUrl
  45. 45.↵
    1. Hwang M-J,
    2. Seol GH
    . Cerebral oxygenation and pain of heel blood sampling using manual and automatic lancets in premature infants. J Perinat Neonatal Nurs 2015;29(4):356-362.
    OpenUrl
  46. 46.↵
    1. Merter OS,
    2. Bolişik ZB
    . The effects of manual and automatic lancets on neonatal capillary heel blood sampling pain: a prospective randomized controlled trial. J Pediatr Nurs 2021;58:e8-e12.
    OpenUrl
  47. 47.↵
    1. Barker DP,
    2. Latty BW,
    3. Rutter N
    . Heel blood sampling in preterm infants: which technique? Arch Dis Child Fetal Neonatal Ed 1994;71(3):F206-F208.
    OpenUrlAbstract/FREE Full Text
  48. 48.↵
    1. Kawakami K,
    2. Takai-Kawakami K,
    3. Okazaki Y,
    4. Kurihara H,
    5. Shimizu Y,
    6. Takumi Y
    . The effect of odors on human newborn infants under stress. Infant Behav Dev 1997;20(4):531-535.
    OpenUrlCrossRefWeb of Science
  49. 49.↵
    1. Malachowska B,
    2. Fendler W,
    3. Pomykala A,
    4. Suwala S,
    5. Mlynarski W
    . Essential oils reduce autonomous response to pain sensation during self-monitoring of blood glucose among children with diabetes. J Pediatr Endocrinol Metab 2016;29:47-53.
    OpenUrl
  50. 50.↵
    1. Gokulu G,
    2. Bilgen H,
    3. Ozdemir H,
    4. Sarioz A,
    5. Memisoglu A,
    6. Gucuyener K,
    7. Ozek E
    . Comparative heel stick study showed that newborn infants who had undergone repeated painful procedures showed increased short-term pain responses. Acta Paediatr 2016;105(11):e520-e525.
    OpenUrl
  51. 51.↵
    1. Bohnhorst B,
    2. Hartmann H,
    3. Lange M
    . Severe methemoglobinemia caused by continuous lidocaine infusion in a term neonate. Eur J Paediatr Neurol 2017;21(3):576-579.
    OpenUrl
  52. 52.↵
    1. Ash-Bernal R,
    2. Wise R,
    3. Wright SM
    . Acquired methemoglobinemia: a retrospective series of 138 cases at 2 teaching hospitals. Medicine (Baltimore) 2004;83(5):265-273.
    OpenUrlCrossRefPubMedWeb of Science
  53. 53.↵
    1. Tolcos M,
    2. McGregor H,
    3. Walker D,
    4. Rees S
    . Chronic prenatal exposure to carbon monoxide results in a reduction in tyrosine hydroxylase-immunoreactivity and an increase in choline acetyltransferase-immunoreactivity in the fetal medulla: implications for Sudden Infant Death Syndrome. J Neuropathol Exp Neurol 2000;59(3):218-228.
    OpenUrlCrossRefPubMed
  54. 54.↵
    1. Mooyaart EAQ,
    2. Gelderman ELG,
    3. Nijsten MW,
    4. de Vos R,
    5. Hirner JM,
    6. de Lange DW,
    7. et al
    . Outcome after hydrogen sulphide intoxication. Resuscitation 2016;103:1-6.
    OpenUrl
  55. 55.↵
    1. Young RC Jr.,
    2. Rachal RE,
    3. Del Pilar Aguinaga M,
    4. Nelson BL,
    5. Kim BC,
    6. Winter WP,
    7. Castro O
    . Automated oxyhemoglobin dissociation curve construction to assess sickle cell anemia therapy. J Natl Med Assoc 2000;92(9):430-435.
    OpenUrlPubMed
  56. 56.↵
    1. Vaisbuch E,
    2. Kusanovic JP,
    3. Erez O,
    4. Mazaki-Tovi S,
    5. Gotsch F,
    6. Kim CJ,
    7. et al
    . Amniotic fluid fetal hemoglobin in normal pregnancies and pregnancies complicated with preterm labor or prelabor rupture of membranes. J Matern Fetal Neonatal Med 2009;22(5):388-397.
    OpenUrlPubMed
  57. 57.↵
    1. Needleman JP,
    2. Setty BN,
    3. Varlotta L,
    4. Dampier C,
    5. Allen JL
    . Measurement of hemoglobin saturation by oxygen in children and adolescents with sickle cell disease. Pediatr Pulmonol 1999;28(6):423-428.
    OpenUrlCrossRefPubMedWeb of Science
  58. 58.↵
    1. Salyer JW
    . Neonatal and pediatric pulse oximetry. Respir Care 2003;48(4):386-396; discussion 397-398.
    OpenUrlAbstract/FREE Full Text
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Respiratory Care: 67 (9)
Respiratory Care
Vol. 67, Issue 9
1 Sep 2022
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AARC Clinical Practice Guidelines: Capillary Blood Gas Sampling for Neonatal and Pediatric Patients
Dana L Evans, Teresa A Volsko, Emily Capellari, Shawna L Strickland
Respiratory Care Sep 2022, 67 (9) 1190-1204; DOI: 10.4187/respcare.10151

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AARC Clinical Practice Guidelines: Capillary Blood Gas Sampling for Neonatal and Pediatric Patients
Dana L Evans, Teresa A Volsko, Emily Capellari, Shawna L Strickland
Respiratory Care Sep 2022, 67 (9) 1190-1204; DOI: 10.4187/respcare.10151
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Keywords

  • blood gas analysis
  • blood draw
  • capillary
  • point of care
  • neonatal
  • pediatrics
  • acid-base

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