Original Research Article I Volume 4 I Issue 1 I 2016

Comparative study between arterial blood gases and venous blood gases in Acute Cardiogenic Pulmonary Edema

Sadek Gamal-Aldin Sadek Department Emergency, Faculty of Medicine, Alexandria University, Egypt ; mustafa Mohamed Nawar; Salah Mohamed EL-Tahan; mohamed ibrahim lotfy

Biolife, 4(1), pp 48-56

DOI:https://doi.org/10.5281/zenodo.7309904

Abstract:

Acute cardiogenic pulmonary oedema (ACPE) is a critical situation with simultaneous respiratory & circulatory failure. Measuring arterial blood gases at presentation help to assess the severity of the process, giving information about the degree of tissue hypoperfusion (PH, HCO3, base excess) and respiratory failure (PCO2, PO2, SaO2) which may establish indications for specific therapies, like inotropic support or mechanical ventilation.

Keywords:

Emergency, acute pulmonary edema, blood gases, oxygen saturation.

References:

 1.  Ak A, Ogun CO, Bayir A, Kayis SA, Koylu R. Prediction of arterial blood gas values from venous blood gas values in patients with acute exacerbation of chronic obstructive pulmonary disease. Tohoku J Exp Med 2006; 210: 285−90.

2. Brandenburg MA, Dire DJ. Comparison of arterial and venous blood gas values in the initial emergency department evaluation of patients with diabetic ketoacidosis. Ann Emerg Med 1998; 31:459–65.

3.  Dargie HJ, McMurray JJ. Diagnosis and management of heart failure. BMJ 1994; 308: 321-8.

4.  Gennis PR, Skovron ML, Aronson ST, Gallagher EJ. The usefulness of peripheral venous blood in estimating acid−base status in acutely ill patients. Ann Emerg Med 1985; 14: 845−9.

5.     Masip J, De Mendoza D, Planas K, Paez J, Sanchez B, Cancio B. Peripheral venous blood gases and  pulse-oximetry in acute cardiogenic pulmonary oedema; Eur Heart J Acute Cardiovasc Care 2012; 1(4): 275 –80.

6.     Middleton P, Kelly AM, Brown J, Robertson M. Agreement between arterial and central venous values for pH, bicarbonate, base excess, and lactate. Emerg Med J 2006; 23: 622−4.

7.     Nieminen MS, Böhm M, Cowie MR, Drexler H, Filippatos GS, Jondeau G, et al. Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology. Eur Heart J 2005; 26:384–416.

8.     Paine EG, Boutwell JH, SoloV LA. The reliability of arterialised venous blood for measuring arterial pH and pCO2. Am J Med Sci 1961; 242:431–4.

9.     Swedberg K, Cleland J, Dargie H, Drexler H, Follath F, Komajda M, et al. Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005): The Task Force for the diagnosis and treatment of chronic heart failure of the European Society of Cardiology. Eur Heart J 2005; 26:1115–40.

10.  Toftegaard M, Rees SE, Andreassen S. Evaluation of a method for converting venous values of acid-base and oxygenation status to arterial values; Emerg Med J 2009;26:268–72.

11.  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 SocNephrol 2010; 5: 390−4.           

12.  Walkey AJ, Farber HW, O’Donnell C, Cabral H, Eagan JS, Philippides GJ. The accuracy of the central venous blood gas for acid−base monitoring. J Intensive Care Med 2010; 25: 104−10...

Article Dates:

Received: 3 January 2016; Accepted: 19 February 2016; Published: 2 March 2016

How To Cite:

Sadek Gamal-Aldin Sadek, mustafa Mohamed Nawar, Salah Mohamed EL-Tahan, & mohamed ibrahim lotfy. (2022). Comparative study between arterial blood gases and venous blood gases in Acute Cardiogenic Pulmonary Edema. Biolife, 4(1), 48–56. https://doi.org/10.5281/zenodo.7309904