Abstract
Arterial blood gas analysis is necessary for the optimal management and treatment of many critically ill patients. Currently, arterial blood gases (ABG) are measured intermittently. Continuous measurement of PO2, PCO2, and pH in arterial blood would be a major medical advance for the intensivist. Certain patient populations in the intensive care unit (ICU) would clearly benefit from continuous intra-arterial blood gas monitoring (CIABGM). CIABGM would not be expected to totally replace intermittent ABG sampling and periodic calibration of a CIABGM device may also be necessary.
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References
Thorson SH, Marini JJ, Pierson DJ, et al. (1983) Variability of arterial blood gas values in stable patients in the ICU. Chest 84:14–18
Metzger LF, Stauffer WB, Krupinski AV, et al. (1987) Detecting errors in blood-gas measurement by analysis with two instruments. Clin Chem 33:512–517
Clausen JL, Murray KM (1985) Clinical applications of arterial blood gases: How much accuracy do we need? J Med Tech 21:19–21
Rolfe P (1988) Review of chemical sensors for physiological measurement. J Biomed Eng 10:138–143
Mindt W, Eberhard P (1982) Electrochemical sensors for invasive and noninvasive monitoring of blood gases. Med Progr Technol 9:105–111
Kazacos M, Skalsky M, Skyllas-Kazacos M (1985) A review of developments in implantable selective chemical sensors. Life Support Sys 3:189–205
Carlon GC, Kahn RC, Ray C, et al. (1980) Evaluation of an in vivo PaO2 and PaCO2 monitoring in the management of respiratory failure. Crit Care Med 8:410–412
Gehrich JL, Lubbers DW, Opitz N, et al. (1986) Optical fluorescence and its application to an intravascular blood gas monitoring system. IEEE Transactions Biomed Eng 33:117–132
Narayanaswamy R (1985) Fiber optics for chemical sensing. Analyt Proc 22:204–210
Tremper KK, Barker SJ (1989) The optode: next generation in blood gas measurement. Crit Care Med 17:481–482
Delpy DT (1988) Developments in oxygen monitoring. J Biomed Eng 10:533–540
Bratanow N, Polk K, Bland R, et al. (1985) Continuous polarographic monitoring of intra-arterial oxygen in the perioperative period. Crit Care Med 13:859–861
Pfeifer PM, Pearson DT, Clayton RH (1988) Clinical trial of the continucath intra-arterial oxygen monitor. Anesthesia 43:677–682
Hall JR, Poulton TJ, Downs JB, et al. (1980) In vivo arterial blood gas analysis: An evaluation. Crit Care Med 8:414–417
Shapiro BA, Cane RD, Chomka CM, et al. (1989) Preliminary evaluation of an intra-arterial blood gas system in dogs and humans. Crit Care Medicine 17:455–460
Barker SJ, Hyatt J (1991) Continuous measurement of intraarterial pHa, PaCo2 and PaO2 in the operating room. Anesth Analg 73:43–48
Mahutte CK, Sassoon CSH, Muro JR, et al. (1990) Progress in the development of a fluorescent intravascular blood gas system in man. J Clin Monitor 6:147–157
Greenblott G, Barker GG, Tremper KK, et al. (1990) Detection of venous air embolism by continuous intraarterial oxyen monitoring. J Clin Monit 6:53–56
Durst S, Leslie J, Moore R, et al. (1974) A comparison of the thrombogenicity of commercially available catheters. Radiology 113:599–600
Nachnani GH, Lessin LS, Motomiya, et al. (1972) Scanning electron microscopy of thrombo-genesis on vascular catheter surfaces. N Engl J Med 286:139–140
Hecker JF, Scandrett LA (1985) Roughness and thrombogenicity of the outer surfaces of intravascular catheters. J Biomed Materials Res 19:381–395
Heideman M, Jacobsson B, Larsson R (1976) Thromboresistance and stability of a heparin-ized polymer. Acta Radiologica Diag 17:877–885
Shapiro BA, Cane RD (1989) Blood gas monitoring: Yesterday, today, and tomorrow. Crit Care Med 17:573–581
Misiano DR, Meyerhoff ME, Colison ME (1990) Current and future directions in the technology relating to bedside testing of critically ill patients. Chest 97:204–214
Chernow B, Salem M, Stacey J (1991) Blood conservation: A critical imperative. Crit Care Med 19:313–314
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© 1992 Springer-Verlag Berlin Heidelberg
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Dellinger, R.P., Zimmerman, J.L. (1992). Continuous Intra-Arterial Blood Gas Monitoring. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1992. Yearbook of Intensive Care and Emergency Medicine, vol 1992. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84734-9_39
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DOI: https://doi.org/10.1007/978-3-642-84734-9_39
Publisher Name: Springer, Berlin, Heidelberg
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