Skip to main content
Erschienen in: Critical Care 4/2011

01.08.2011 | Commentary

Are arterial blood gases necessary in the evaluation of acutely dyspneic patients?

verfasst von: Christopher Junker, Guillermo Gutierrez

Erschienen in: Critical Care | Ausgabe 4/2011

Einloggen, um Zugang zu erhalten

Abstract

Arterial blood gases (ABG) are obtained commonly in dyspneic persons presenting to emergency departments. The study by Burri and colleagues found that the information contained in ABG fails to distinguish between pulmonary and other causes of dyspnea. On the other hand, arterial pH was highly predictive of ICU admission and outcome. Until large clinical studies show equivalence between peripheral venous and ABG, we will continue to advocate the use of ABG in the evaluation of acute dyspnea.
Literatur
1.
Zurück zum Zitat Burri E, Potocki M, Drexler B, Schuetz P, Mebazaa A, Ahlfeld U, Balmelli C, Heinisch C, Noveanu M, Breidthardt T, Schaub N, Reichlin T, Mueller C: Value of arterial blood gas analysis in patients with acute dyspnea: an observational study. Crit Care. 2011, 15: R145-10.1186/cc10268.PubMedPubMedCentralCrossRef Burri E, Potocki M, Drexler B, Schuetz P, Mebazaa A, Ahlfeld U, Balmelli C, Heinisch C, Noveanu M, Breidthardt T, Schaub N, Reichlin T, Mueller C: Value of arterial blood gas analysis in patients with acute dyspnea: an observational study. Crit Care. 2011, 15: R145-10.1186/cc10268.PubMedPubMedCentralCrossRef
2.
Zurück zum Zitat Astrup P, Schrøder S: Apparatus for anaerobic determination of pH in blood. Scand J Clin Invest. 1956, 8: 30-32. 10.3109/00365515609049240.PubMedCrossRef Astrup P, Schrøder S: Apparatus for anaerobic determination of pH in blood. Scand J Clin Invest. 1956, 8: 30-32. 10.3109/00365515609049240.PubMedCrossRef
3.
Zurück zum Zitat Stow RW, Baer RF, Randall B: Rapid measurement of the tension of carbon dioxide in blood. Arch Phys Med Rehabil. 1957, 38: 646-650.PubMed Stow RW, Baer RF, Randall B: Rapid measurement of the tension of carbon dioxide in blood. Arch Phys Med Rehabil. 1957, 38: 646-650.PubMed
4.
Zurück zum Zitat Severinghaus JW, Bradley AF: Electrodes for blood PO2 and PCO2 determination. J Appl Physiol. 1958, 13: 515-20.PubMed Severinghaus JW, Bradley AF: Electrodes for blood PO2 and PCO2 determination. J Appl Physiol. 1958, 13: 515-20.PubMed
5.
Zurück zum Zitat Clark LC: Monitor and control of blood and tissue oxygen tensions. Trans Am Soc Artif Intern Organs. 1956, 2: 41-48. Clark LC: Monitor and control of blood and tissue oxygen tensions. Trans Am Soc Artif Intern Organs. 1956, 2: 41-48.
6.
Zurück zum Zitat PIOPED Investigators: Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective in vestigation of pulmonary embolism diagnosis (PIOPED). JAMA. 1990, 263: 2753-2755.CrossRef PIOPED Investigators: Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective in vestigation of pulmonary embolism diagnosis (PIOPED). JAMA. 1990, 263: 2753-2755.CrossRef
7.
Zurück zum Zitat Stein PD, Fowler SE, Goodman LR, Gottschalk A, Hales CA, Hull RD, Leeper KV, Popovich J, Quinn DA, Sos TA, Sostman HD, Tapson VF, Wakefield TW, Weg JG, Woodard PK, PIOPED II Investigators: Multidetector computed tomography for acute pulmonary embolism. N Engl J Med. 2006, 354: 2317-2327. 10.1056/NEJMoa052367.PubMedCrossRef Stein PD, Fowler SE, Goodman LR, Gottschalk A, Hales CA, Hull RD, Leeper KV, Popovich J, Quinn DA, Sos TA, Sostman HD, Tapson VF, Wakefield TW, Weg JG, Woodard PK, PIOPED II Investigators: Multidetector computed tomography for acute pulmonary embolism. N Engl J Med. 2006, 354: 2317-2327. 10.1056/NEJMoa052367.PubMedCrossRef
8.
Zurück zum Zitat Stein PD, Beemath A, Matta F, Weg JG, Yusen RD, Hales CA, Hull RD, Leeper KV, Sostman HD, Tapson VF, Buckley JD, Gottschalk A, Goodman LR, Wakefied TW, Woodard PK: Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med. 2007, 120: 871-879. 10.1016/j.amjmed.2007.03.024.PubMedPubMedCentralCrossRef Stein PD, Beemath A, Matta F, Weg JG, Yusen RD, Hales CA, Hull RD, Leeper KV, Sostman HD, Tapson VF, Buckley JD, Gottschalk A, Goodman LR, Wakefied TW, Woodard PK: Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med. 2007, 120: 871-879. 10.1016/j.amjmed.2007.03.024.PubMedPubMedCentralCrossRef
9.
Zurück zum Zitat Kelly AM, McAlpine R, Kyle E: Venous pH can safely replace arterial pH in the initial evaluation of patients in the emergency department. Emerg Med J. 2001, 18: 340-342. 10.1136/emj.18.5.340.PubMedPubMedCentralCrossRef Kelly AM, McAlpine R, Kyle E: Venous pH can safely replace arterial pH in the initial evaluation of patients in the emergency department. Emerg Med J. 2001, 18: 340-342. 10.1136/emj.18.5.340.PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat Treger R, Pirouz S, Kamangar N, Corry D: Agreement between central venous and arterial blood gas measurements in the intensive care unit. Clin J Am Soc Nephrol. 2010, 5: 390-394. 10.2215/CJN.00330109.PubMedPubMedCentralCrossRef Treger R, Pirouz S, Kamangar N, Corry D: Agreement between central venous and arterial blood gas measurements in the intensive care unit. Clin J Am Soc Nephrol. 2010, 5: 390-394. 10.2215/CJN.00330109.PubMedPubMedCentralCrossRef
Metadaten
Titel
Are arterial blood gases necessary in the evaluation of acutely dyspneic patients?
verfasst von
Christopher Junker
Guillermo Gutierrez
Publikationsdatum
01.08.2011
Verlag
BioMed Central
Erschienen in
Critical Care / Ausgabe 4/2011
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc10279

Weitere Artikel der Ausgabe 4/2011

Critical Care 4/2011 Zur Ausgabe

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.