Comparison of Sampler Filling Times Among Selected Arterial Blood Samplers.

BACKGROUND: True arterial blood samples are essential in making clinical decisions for respiratory patients. Previous studies using only the Portex Pro-Vent arterial sampler have shown a significant difference between arterial and venous filling times. The goal of this study was to determine whether...

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Publicado en:Respiratory Care Vol. 60; no. 4; pp. 513 - 517
Autores principales: McMillen, Christine N, Adu-Yeboah, Stephen, Kagarise, Elisabeth, Morton, Rebecca L, Yuce, Basak, Douce, F Herbert
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Apr2015
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Comparison of Sampler Filling Times Among Selected Arterial Blood Samplers.
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        au:
          McMillen, Christine N
          Adu-Yeboah, Stephen
          Kagarise, Elisabeth
          Morton, Rebecca L
          Yuce, Basak
          Douce, F Herbert
        affil: Division of Respiratory Care, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Therapy Division, School of Health and Rehabilitation Sciences, College of Medicine, The Ohio State University, Columbus, Ohio
      sug:
        subj:
          Blood Gas Analysis Methods
          Simulations
          Human
          Kruskal-Wallis Test
          Random Sample
          In Vitro Studies
          Descriptive Statistics
          Data Analysis Software
          One-Way Analysis of Variance
          T-Tests
      ab: BACKGROUND: True arterial blood samples are essential in making clinical decisions for respiratory patients. Previous studies using only the Portex Pro-Vent arterial sampler have shown a significant difference between arterial and venous filling times. The goal of this study was to determine whether there is a statistically significant difference between sampler filling times measured at a normal mean arterial pressure among multiple arterial samplers with plungers and to determine whether there is a statistically significant difference in filling times between venous and normal mean arterial pressures for a sampler without a plunger. METHODS: We assembled an extracorporeal laboratory model to circulate a synthetic compound composed of 0.9% sodium chloride solution and Life/form artificial blood, and we used hemostats to create pressures within the circuit. We randomly selected samplers and measured the filling times of 4 arterial samplers with plungers at a normal mean arterial pressure (93 ± 1 mm Hg). We also measured the filling time of one arterial sampler without a plunger at a normal mean arterial pressure and at a simulated venous pressure (9 ± 2 mm Hg). We used the Kruskal-Wallis one-way analysis of variance to compare arterial filling times in samplers, and we used a t test for independent samples to compare venous and arterial filling times in the sampler without a plunger. RESULTS: There was a statistically significant difference between sampler filling times among the 4 arterial samplers with a plunger (P < .001). There was a statistically significant difference between arterial and venous pressure filling times for the sampler without a plunger (P < .001). CONCLUSIONS: Although there was a statistically significant difference between arterial filling times among various samplers with plungers, the difference was < 1 s and was not deemed clinically important. Regardless of the sampler brand being used, respiratory therapists and other clinicians performing arterial punctures can use sampler filling time to identify a successful arterial puncture while drawing blood.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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