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Baylor University Medical Center Proceedings
The peer-reviewed journal of Baylor Scott & White Health
Volume 31, 2018 - Issue 3
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Original Research

Utility of venous blood gases in severe sepsis and septic shock

Heath D. WhiteDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White Health, Temple, TexasCorrespondence[email protected])
ORCID Iconhttp://orcid.org/0000-0003-1065-3681View further author information
, DO, MS ORCID Icon,
Alfredo Vazquez-SandovalDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White Health, Temple, TexasORCID Iconhttp://orcid.org/0000-0002-0979-7808View further author information
, MD ORCID Icon,
Pedro F. QuirogaDivision of Pulmonary and Critical Care Medicine, Maricopa Medical Center, Phoenix, ArizonaORCID Iconhttp://orcid.org/0000-0003-0658-8290View further author information
, MD ORCID Icon,
Juhee SongDepartment of Biostatistics, Baylor Scott & White Health, Temple, TexasView further author information
, PhD,
Shirley F. JonesDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White Health, Temple, TexasORCID Iconhttp://orcid.org/0000-0001-8637-0317View further author information
, MD ORCID Icon &
Alejandro C. ArroligaDivision of Pulmonary, Critical Care, and Sleep Medicine, Baylor Scott & White Health, Temple, TexasORCID Iconhttp://orcid.org/0000-0002-7245-2159View further author information
, MD, MS ORCID Icon
Pages 269-275 | Received 08 Jan 2018, Accepted 28 Feb 2018, Published online: 09 May 2018

  • Angus DC, Linde-Zwirble WT, Lidicker J, et al. Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Crit Care Med. 2001;29:1303–1310. doi:10.1097/00003246-200107000-00002.
  • Bone RC, Balk RA, Cerra FB, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest. 1992;101:1644–1655. doi:10.1378/chest.101.6.1644.
  • Ma OJ, Rush MD, Godfrey MM, Gaddis G. Arterial blood gas results rarely influence emergency physician management of patients with suspected diabetic ketoacidosis. Acad Emerg Med. 2003;10:836–841. doi:10.1111/j.1553-2712.2003.tb00625.x.
  • 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;31:459–465. doi:10.1016/S0196-0644(98)70254-9.
  • Kelly AM, Kerr D, Middleton P. Validation of venous pCO2 to screen for arterial hypercarbia in patients with chronic obstructive airways disease. J Emerg Med. 2005;28:377–379. doi:10.1016/j.jemermed.2004.10.017.
  • McCanny P, Bennett K, Staunton P, McMahon G. Venous vs arterial blood gases in the assessment of patients presenting with an exacerbation of chronic obstructive pulmonary disease. Am J Emerg Med. 2012;30:896–900. doi:10.1016/j.ajem.2011.06.011.
  • 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;210:285–290. doi:10.1620/tjem.210.285.
  • Toftegaard M, Rees SE, Andreassen S. Correlation between acid-base parameters measured in arterial blood and venous blood sampled peripherally, from vena cavae superior, and from the pulmonary artery. Eur J Emerg Med. 2008;15:86–91. doi:10.1097/MEJ.0b013e3282e6f5c5.
  • Razi E, Moosavi GA. Comparison of arterial and venous blood gases analysis in patients with exacerbation of chronic obstructive pulmonary disease. Saudi Med J. 2007;28:862–865.
  • McKeever TM, Hearson G, Housley G, et al. Using venous blood gas analysis in the assessment of COPD exacerbations: a prospective cohort study. Thorax. 2016;71:210–215. doi:10.1136/thoraxjnl-2015-207573.
  • 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. doi:10.1136/emj.18.5.340.
  • Kelly AM, Klim S. Agreement between arterial and venous pH and pCO2 in patients undergoing non-invasive ventilation in the emergency department. Emerg Med Australas. 2013;25:203–206. doi:10.1111/1742-6723.12066.
  • Kelly AM, Kyle E, McAlpine R. Venous pCO2 and pH can be used to screen for significant hypercarbia in emergency patients with acute respiratory disease. J Emerg Med. 2002;22:15–19. doi:10.1016/S0736-4679(01)00431-0.
  • Malinoski DJ, Todd SR, Slone S, Mullins RJ, Schreiber MA. Correlation of central venous and arterial blood gas measurements in mechanically ventilated trauma patients. Arch Surg. 2005;140:1122–1125. doi:10.1001/archsurg.140.11.1122.
  • Steedman DJ, Robertson CE. Acid base changes in arterial and central venous blood during cardiopulmonary resuscitation. Arch Emerg Med. 1992;9:169–176. doi:10.1136/emj.9.2.169.
  • Adrogué HJ, Rashad MN, Gorin AB, Yacoub J, Madias NE. Assessing acid-base status in circulatory failure. Differences between arterial and central venous blood. N Engl J Med. 1989;320:1312–1316. doi:10.1056/NEJM198905183202004.
  • 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. doi:10.2215/CJN.00330109.
  • Rang LC, Murray HE, Wells GA, Macgougan CK. Can peripheral venous blood gases replace arterial blood gases in emergency department patients? CJEM. 2002;4:7–15. doi:10.1017/S1481803500006011.
  • Malatesha G, Singh NK, Bharija A, Rehani B, Goel A. Comparison of arterial and venous pH, bicarbonate, pCO2 and pO2 in initial emergency department assessment. Emerg Med J. 2007;24:569–571. doi:10.1136/emj.2007.046979.
  • Phillips B, Peretz DI. A comparison of central venous and arterial blood gas values in the critically ill. Ann Intern Med. 1969;70:745–749. doi:10.7326/0003-4819-70-4-745.
  • 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;23:622–624. doi:10.1136/emj.2006.035915.
  • Sutton RN, Wilson RF, Walt AJ. Differences in acid–base levels and oxygen-saturation between central venous and arterial blood. Lancet. 1967;2:748–751. doi:10.1016/S0140-6736(67)91947-2.
  • Koul PA, Khan UH, Wani AA, et al. Comparison and agreement between venous and arterial gas analysis in cardiopulmonary patients in Kashmir valley of the Indian subcontinent. Ann Thorac Med. 2011;6:33–37. doi:10.4103/1817-1737.74274.
  • Vincent JL, de Mendonça A, Cantraine F, et al. Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study. Working group on “sepsis-related problems” of the European Society of Intensive Care Medicine. Crit Care Med. 1998;26:1793–1800. doi:10.1097/00003246-199811000-00016.
  • Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA. 1993;270:2957–2963. doi:10.1001/jama.1993.03510240069035.
  • Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310. doi:10.1016/S0140-6736(86)90837-8.
  • Bland JM, Altman DG. Comparing methods of measurement: why plotting difference against standard method is misleading. Lancet. 1995;346:1085–1087. doi:10.1016/S0140-6736(95)91748-9.
  • Byrne AL, Bennett M, Chatterji R, Symons R, Pace NL, Thomas PS. Peripheral venous and arterial blood gas analysis in adults: are they comparable? A systematic review and meta-analysis. Respirology. 2014;19:168–175. doi:10.1111/resp.12225.

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