AI Article Synopsis

  • The study analyzed arterial blood gas (ABG) and pH value variability in 28 stable ICU patients using a new fluorescent blood gas monitor.
  • The mean coefficient of variation was found to be 6.1% for PO2 and 4.7% for PCO2, indicating significant fluctuations.
  • The researchers emphasized that the notable spontaneous variability of ABG results within a 1-hour period should be considered in clinical decision-making.

Article Abstract

The spontaneous variability of arterial blood gas and pH values (ABGs) was examined in a group of 28 typical stable medical ICU patients under a variety of ventilatory conditions. In each patient, 13 ABG specimens were measured at 5-min intervals during a 1-h study period using a new bedside, extravascular fluorescent blood gas monitor. For all patients, the mean coefficient of variation (C) was 6.1 percent for PO2 and 4.7 percent for PCO2. The average SD for pH was 0.012. We conclude that the spontaneous variability for ABG values over a 1-h period is substantial and that this variability should be taken into account when making clinical decisions based on ABG values.

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http://dx.doi.org/10.1378/chest.106.1.187DOI Listing

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