BLOOD GAS ANALYSIS

Dr. T.C. Kriplani Professor & Head Department of Anaesthesiology NSCB Medical College & Hospital, JABALPUR (M.P.)

POLIO – EPIDEMIC 1952.COPENHAGEN (DENMARK) .

BJORN IBSEN .DR.

What is the difference between : -Blood gas analysis & -Blood gas monitoring Ans : Blood gas monitor is a patient dedicated device that measures arterial pH. For blood gas analysis – Blood is removed from patient .Q. PaCO2 and PaO2 without permanently removing blood.

gas chromatography) •Specific electrodes . What are the principles of Gas analysis ? Ans : •Chemical (Haldane.Q. Orsat-Henderson & Van Slyke) •Physical (Magnetic. infrared.

Q. What is the difference between electrode & optode ? Ans : •Electrode : Sensor that operates via electrochemical properties •Optode : Sensor that operates via optical detection of altered light .

Who developed O2 electrode Ans : Dr. Leland Clark in 1956 .Q.

8 .

Q. John Severinghaus in 1959 . Who developed CO2 electrode Ans : Dr.

PHOTOGRAPH OF pH ELECTRODE .

(Radial. Brachial.Q. Femoral or Dorsalis pedis) •Arterialised capillary sample •Rare cases venous blood is used . What are the sites from where blood can be drawn for blood gas analysis ? Ans : •Usually from peripheral art.

Q. Coumadin. streptokinase. Caprostat) •Femoral puncture avoided outside hospital •Arterial puncture not performed distal to surgical shunt . What are indications & contraindications of arterial blood gas analysis ? Ans : •Indications: •To evaluate the adequacy of ventilation •To Quantitate patient’s response to therapeutic intervention •To monitor severity & progression of documented disease process Contraindications: •-ve result of Allen’s test •Coagulopathy or medium to high dose anticoagulation therapy (Heparin.

What are the complications of Arterial Puncture? •Arteriospasm.Q. •Anaphylaxis if LA is used. • Haematoma. •Vasovagal response and Pain . •Haemorrhage. •Arterial occlusion. •Emboli (Air or clotted blood). •Trauma to vessel.

•Ringe syringe with Heparin 1 in 1000 . closes hand as tightly as possible for 1 minute in order to squeeze out blood •Compress radial art.V. at wrist •Open the hand (extend fingers) •Note the return of colour •Full blushing – 7 seconds •Borderline – 8 – 14 seconds •Abnormal (-ve test) . softens skin. (1929) •Pt.> 14 seconds •LA – prevents arterial spasm. increases subcutaneous space (working room).Q. How Allen’s test is performed ? What precautions should be taken while taking the sample ? Ans : Allen E.

Q. How arterialised capillary sample is taken ? Ans : •Site – Finger. toe. heel or ear lobe •Wrapping in warm pad (40-430 C) for 10 minutes •Or •Massage ear lobe for 2-3 minutes •Heparinised capillary tube should be sealed after collecting sample with clay at one end •Short steel wire is inserted then other end is sealed •Steel wire is moved with magnet to mix the sample .

Q. wrist extended 20300 •0. How to take an arterial blood gas sample ? Ans : •Syringe with 22 to 23 G needle for radial artery puncture •Bevel facing up 20-300 angle.25 mL Heparin 1000 IU/mL concentration do coating and discard rest •Send for analysis within 5-10 minutes or else store in Ice child water (40C) maximum upto 60 minutes .

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