Errors in data derived from pulmonary artery blood gas values
作者:
PETER SUTER,
JAMES LINDAUER,
H. FAIRLEY,
RICHARD SCHLOBOHM,
期刊:
Critical Care Medicine
(OVID Available online 1975)
卷期:
Volume 3,
issue 5
页码: 175-181
ISSN:0090-3493
年代: 1975
出版商: OVID
数据来源: OVID
摘要:
Blood gas values were obtained from Swan-Ganz pulmonary artery catheters in 25 patients with acute pulmonary failure, with the objective of evaluating the possibility of contamination with “arterialized” blood and examining the mechanism by which this might happen. Blood oxygen content increased significantly from the main to a segmental pulmonary artery, proportional to the withdrawal rate of the sample. At 3 ml/min, distal contents ranged from 100 to 116% of proximal values (p > 0.01). At 23 ml/min the range was 100–140% of proximal values (p > 0.001). Sampling of blood from a Swan-Ganz catheter in the usual position for “wedge” pressure measurement, but with balloon deflated, may lead to large errors in calculation of cardiac output by the Fick method and in calculation of intrapulmonary shunt fraction.
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