Assessment of pH and Oxygen Status during Hemodialysis Using the Arterial Blood Line in Patients with an Arteriovenous Fistula
| Autor: | Jesper H. Wandrup, Anders Lassen Nielsen, Henrik Ærenlund Jensen, Per Thunedborg, Jörgen Hegbrant, Henning Brinkenfeldt |
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| Rok vydání: | 1999 |
| Předmět: |
Partial Pressure
medicine.medical_treatment Radial artery puncture Arteriovenous fistula Acid–base homeostasis Arteriovenous Shunt Surgical Catheters Indwelling Renal Dialysis medicine.artery medicine Humans Radial artery Hypoxia Methemoglobin business.industry Reproducibility of Results Hematology General Medicine Hydrogen-Ion Concentration medicine.disease Oxygen tension Oxygen medicine.anatomical_structure Carboxyhemoglobin Evaluation Studies as Topic Nephrology Anesthesia Radial Artery Kidney Failure Chronic Arterial blood Hemodialysis Blood Gas Analysis business Artery |
| Zdroj: | Blood Purification. 17:206-212 |
| ISSN: | 1421-9735 0253-5068 |
| DOI: | 10.1159/000014397 |
| Popis: | Background: In patients with arteriovenous fistulas, assessment of pH and oxygen status during hemodialysis (HD) using the extracorporeal dialysis arterial blood line is widely used both in daily routine and in most studies investigating hypoxia during HD. We designed this study to evaluate whether results of blood gas samples drawn from the extracorporeal arterial line were clinically acceptable in assessing oxygen status. Methods: We compared samples drawn from the extracorporeal arterial line with conventionally arterial punctures during 18 routine HD sessions. The samples were drawn simultaneously and analyzed immediately for blood gases, pH and hemoximetry values. Results: No significant difference was found between the values from the radial artery and the extracorporeal arterial blood line except for FMetHb. Conclusion: Thus, obtaining samples from the extracorporeal dialysis arterial blood line to evaluate the parameters of the oxygen status (pH, pO2, pCO2, ctHb, sO2, FCOHb and ctO2) during routine HD is a clinically convenient and accurate sampling approach. |
| Databáze: | OpenAIRE |
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