Comparison Between Manually and Automatically Calculated Analyses: Blood Gases in Pediatric Intensive Care

Murat Arı; Hatice Feray Arı; Hakan Cengiz; Ayça Tuzcu

Makale detayları

Comparison Between Manually and Automatically Calculated Analyses: Blood Gases in Pediatric Intensive Care

Yazarlar:

Murat Arı | Hatice Feray Arı | Hakan Cengiz | Ayça Tuzcu

Yayıncı:

Harran University

Ana Başlıklar:

Çocuk Yoğun Bakımı

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 1, pp.72-78

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001342150

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Backround: One of the most significant encountered in patients with critical illness is an acid-base imbalance. Blood gas analysis is a fundamental laboratory investigation employed to assess a patients acid-base equilibrium and oxygenation status. The accurate interpretation of the blood gas is essential for the management and treatment of disease. The objective of this study is to compare the blood gases in the pediatric intensive care unit PICU between manually and automatically calculated analyses. Materials and Methods: This retrospective study evaluated the serum ions and blood gas parameters values at the time of admission of patients aged between 0 and 18 years who were admitted to the PICU between April and October 2023. Furthermore, the relationship between automatically with ABL800 FLEX autoanalyzer and manually calculated standard base excess SBE, anion gap, and the type of blood gas samples was investigated. Results: The study comprised 184 patients admitted to the PICU, of whom 105 57.1 were male and 79 42.9 female. The most common diseases were 4725.5 physical traumas and 4323.4 lower respiratory tract infections. A positive correlation was detected between the results obtained from the blood gas automatically and manually calculated values for SBE. correlation coefficientCc: 0.970; p0.001. However, a significant difference was found between the SBE automatically and manually calculation when capillary p0.007 or venous p0.001 blood gas was taken, but this difference was not found for arterial samples p0.089. Conclusions: The automatic measurements of the blood gas analyser are reliable, based on this study, and we should to be say between two methods no differences automatically and manually values. Nevertheless, in cases where there is an elevated risk of base deficit in critically ill patients, it is recommended that an arterial blood gas sample be obtained.

 Backround: One of the most significant encountered in patients with critical illness is an acid-base imbalance. Blood gas analysis is a fundamental laboratory investigation employed to assess a patients acid-base equilibrium and oxygenation status. The accurate interpretation of the blood gas is essential for the management and treatment of disease. The objective of this study is to compare the blood gases in the pediatric intensive care unit PICU between manually and automatically calculated analyses. Materials and Methods: This retrospective study evaluated the serum ions and blood gas parameters values at the time of admission of patients aged between 0 and 18 years who were admitted to the PICU between April and October 2023. Furthermore, the relationship between automatically with ABL800 FLEX autoanalyzer and manually calculated standard base excess SBE, anion gap, and the type of blood gas samples was investigated. Results: The study comprised 184 patients admitted to the PICU, of whom 105 57.1 were male and 79 42.9 female. The most common diseases were 4725.5 physical traumas and 4323.4 lower respiratory tract infections. A positive correlation was detected between the results obtained from the blood gas automatically and manually calculated values for SBE. correlation coefficientCc: 0.970; p0.001. However, a significant difference was found between the SBE automatically and manually calculation when capillary p0.007 or venous p0.001 blood gas was taken, but this difference was not found for arterial samples p0.089. Conclusions: The automatic measurements of the blood gas analyser are reliable, based on this study, and we should to be say between two methods no differences automatically and manually values. Nevertheless, in cases where there is an elevated risk of base deficit in critically ill patients, it is recommended that an arterial blood gas sample be obtained.

 Backround: One of the most significant encountered in patients with critical illness is an acid-base imbalance. Blood gas analysis is a fundamental laboratory investigation employed to assess a patients acid-base equilibrium and oxygenation status. The accurate interpretation of the blood gas is essential for the management and treatment of disease. The objective of this study is to compare the blood gases in the pediatric intensive care unit PICU between manually and automatically calculated analyses. Materials and Methods: This retrospective study evaluated the serum ions and blood gas parameters values at the time of admission of patients aged between 0 and 18 years who were admitted to the PICU between April and October 2023. Furthermore, the relationship between automatically with ABL800 FLEX autoanalyzer and manually calculated standard base excess SBE, anion gap, and the type of blood gas samples was investigated. Results: The study comprised 184 patients admitted to the PICU, of whom 105 57.1 were male and 79 42.9 female. The most common diseases were 4725.5 physical traumas and 4323.4 lower respiratory tract infections. A positive correlation was detected between the results obtained from the blood gas automatically and manually calculated values for SBE. correlation coefficientCc: 0.970; p0.001. However, a significant difference was found between the SBE automatically and manually calculation when capillary p0.007 or venous p0.001 blood gas was taken, but this difference was not found for arterial samples p0.089. Conclusions: The automatic measurements of the blood gas analyser are reliable, based on this study, and we should to be say between two methods no differences automatically and manually values. Nevertheless, in cases where there is an elevated risk of base deficit in critically ill patients, it is recommended that an arterial blood gas sample be obtained.

 Amaç: Kritik hastalığı olan hastalarda karşılaşılan en önemli durumlardan biri asit-baz dengesizliğidir. Kan gazı analizi, bir hastanın asit-baz dengesini ve oksijenasyon durumunu değerlendirmek için kullanılan temel bir labo-ratuvar incelemesidir. Kan gazının doğru yorumlanması hastalığın yönetimi ve tedavisi için önemlidir. Bu çalışma-nın amacı, pediatrik yoğun bakım ünitesindeki PYBÜ hastalardan alınan kan gazı örneklerinde manuel ve oto-matik olarak hesaplanan sonuçların karşılaştırılmasıdır. Materyal ve Metod: Bu retrospektif çalışmada, Nisan-Ekim 2023 tarihleri arasında PYBÜne yatırılan 0-18 yaş arasındaki hastaların yatış anındaki serum iyon ve kan gazı parametre değerleri incelenmiştir. Kan gazı cihazında otomatik ABL800 FLEX otoanalizörü ile ve manuel olarak hesaplanan standart baz açığı SBA, anyon gap ve kan gazı örneği alım tipleri arasındaki ilişki araştırılmıştır. Bulgular: PYBÜye kabul edilen 184 hastanın 105i 57.1 erkek, 79u 42.9 kızdı. Yatış nedenleri en sık 47 25.5 fiziksel travmalar ve 43 23.4 alt solunum yolu enfeksiyonuydu. Kan gazı cihazından otomatik elde edilen sonuçlar ile SBA değeri için manuel olarak hesaplanan değerler arasında pozitif korelasyon tespit edildi korelasyon katsayısı Kk: 0.970; p0.001. SBA otomatik ile manuel hesaplama arasında kapiller p0.007 veya venöz p0.001 alınan kan gazı türleri arasında istatistiksel anlamlı fark bulundu, ancak arteriyel örneklerde an-lamlı fark bulunmamıştır p0.089. Sonuç: Kan gazı analizörünün otomatik ölçümleri güvenilirdir. Bu çalışmaya dayanarak, iki yöntem arasında oto-matik ve manuel değerler arasında anlamlı fark olmadığını söyleyebiliriz. Bununla birlikte, kritik hastalarda baz açığı riskinin yüksek olduğu durumlarda, hastadan arteriyel kan gazı örneği alınması önerilir.

Makale detayları

Comparison Between Manually and Automatically Calculated Analyses: Blood Gases in Pediatric Intensive Care

Yazarlar:

Murat Arı | Hatice Feray Arı | Hakan Cengiz | Ayça Tuzcu

Yayıncı:

Harran University

Ana Başlıklar:

Çocuk Yoğun Bakımı

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 1, pp.72-78

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001342150

pISSN:

1304-9623

acidosis

blood gas

pediatrics

ion difference

intensive careasidoz

kan gazı

pediatri

iyon farkı

yoğun bakım

Sayı

Makale detayları

Yazarlar: Murat Arı | Hatice Feray Arı | Hakan Cengiz | Ayça Tuzcu

Yayıncı: Harran University

Ana Başlıklar: Çocuk Yoğun Bakımı

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 1, pp.72-78

Belge Tipi: Makale

Yayın Tarihi: 3/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001342150

pISSN: 1304-9623

Sayı

Yazarlar:

Murat Arı | Hatice Feray Arı | Hakan Cengiz | Ayça Tuzcu

Yayıncı:

Harran University

Ana Başlıklar:

Çocuk Yoğun Bakımı

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 1, pp.72-78

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001342150

pISSN:

1304-9623