Utilization of Multi-Parameter Blood Gas Analysis in Prehospital Emergency Medicine-A Scoping Review.

Autor: Rief M; Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Graz, Austria., Eichinger M; Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Graz, Austria., Eichlseder M; Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Graz, Austria., Pichler A; Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Graz, Austria., Prause G; Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Graz, Austria., Bornemann-Cimenti H; Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Graz, Austria. Electronic address: helmar.bornemann@medunigraz.at., Zajic P; Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Graz, Austria.
Jazyk: angličtina
Zdroj: The Journal of emergency medicine [J Emerg Med] 2024 Sep; Vol. 67 (3), pp. e277-e287. Date of Electronic Publication: 2024 May 09.
DOI: 10.1016/j.jemermed.2024.04.014
Abstrakt: Background: Prehospital blood gas analysis (BGA) is an evolving field that offers the potential for early identification and management of critically ill patients. However, the utility and accuracy of prehospital BGA are subjects of ongoing debate.
Objectives: We aimed to provide a comprehensive summary of the current literature on prehospital BGA, including its indications, methods, and feasibility.
Methods: We performed a scoping review of prehospital BGA. A thorough search of the PubMed, Embase, and Web of Science databases was conducted to identify relevant studies focusing on prehospital BGA in adult patients.
Results: Fifteen studies met the inclusion criteria. Prehospital BGA was most frequently performed in patients in out-of-hospital cardiac arrest, followed by traumatic and nontraumatic cases. The parameters most commonly analyzed were pH, pCO 2 , pO 2 , and lactate. Various sampling methods, including arterial, venous, and intraosseous, were reported for prehospital BGA. While prehospital BGA shows promise in facilitating early identification of critical patients and guiding resuscitation efforts, logistical challenges are to be considered. The handling of preclinical BGA is described as feasible and useful in most of the included studies.
Conclusion: Prehospital BGA holds significant potential for enhancing patient care in the prehospital setting, though technical challenges need to be considered. However, further research is required to establish optimal indications and demonstrate the benefits for prehospital BGA in specific clinical contexts.
Competing Interests: Declaration of competing interest GP is author of an included study and was not involved in study selection. For the remaining authors, none were declared.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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