AARC Clinical Practice Guidelines: Capillary Blood Gas Sampling for Neonatal and Pediatric Patients.

In the absence of an indwelling arterial catheter, capillary blood gas sampling may be used to evaluate the acid/base and ventilation status of neonatal and pediatric patients with cardiorespiratory conditions. These guidelines were developed from a comprehensive review of the literature to provide...

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Publicado en:Respiratory Care Vol. 67; no. 9; pp. 1190 - 1205
Autores principales: Evans, Dana L., Volsko, Teresa A., Capellari, Emily, Strickland, Shawna L.
Formato: research systematic review tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mary Ann Liebert, Inc.
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        atl: AARC Clinical Practice Guidelines: Capillary Blood Gas Sampling for Neonatal and Pediatric Patients.
      aug:
        au:
          Evans, Dana L.
          Volsko, Teresa A.
          Capellari, Emily
          Strickland, Shawna L.
        affil: System Respiratory Care, Advocate Aurora Health, Downers Grove, Illinois
      sug:
        subj:
          American Association for Respiratory Care
          Capillaries
          Pediatrics
          Practice Guidelines
          Blood Gas Analysis
          Human
          Systematic Review
          Infant, Newborn
          Blood Specimen Collection
          PubMed
          CINAHL Database
          Outcomes (Health Care)
          Wounds, Penetrating
          Decision Making
          Diagnostic Errors Prevention and Control
          Infant, Newborn: birth-1 month
      ab: In the absence of an indwelling arterial catheter, capillary blood gas sampling may be used to evaluate the acid/base and ventilation status of neonatal and pediatric patients with cardiorespiratory conditions. These guidelines were developed from a comprehensive review of the literature to provide guidance for the collection, handling, and interpretation of blood obtained from an arterialized capillary sample. Capillary and venous blood gas measurements are a useful alternative to arterial blood gas measurements for neonatal and pediatric patients who do not require close monitoring of P.... In the presence of alterations in body temperature, blood pressure, or peripheral perfusion, agreement between a capillary blood gas with an arterial sample is recommended to determine whether changes in these physiologic conditions reduce reliability. Perfusion to the sample site should be assessed and preference given to blood sampling from a well perfused site, and blood should be analyzed within 15 min of sampling to minimize the propensity for pre-analytical errors. Clinicians should consider re-collecting a blood sample, obtained from an artery, vein, or capillary, when the blood gas or analyte result interpretation does not align with the patient's clinical presentation. A pneumatic tube system can be reliably used to transport blood gas samples collected in a syringe and capillary tube to a clinical laboratory for analysis. To reduce the cumulative pain effect and risk of complications, the capillary puncture procedure should be minimized when possible. Non-pharmacologic interventions should be used to reduce pain associated with capillary blood gas sampling. Automatic lancets are preferred to puncture the skin for capillary blood gas collection.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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