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Title:
Uporaba plinske analize periferne venske krvi pri bolnikih z akutno dihalno odpovedjo
Authors:
ID
Ferčec, Marjan
(Author)
ID
Markota, Andrej
(Mentor)
More about this mentor...
ID
Čuček, Marko
(Comentor)
ID
Fekonja, Zvonka
(Comentor)
Files:
MAG_Fercec_Marjan_2022.pdf
(1,43 MB)
MD5: 1401BACC48F2DF3102D85ECF4AC5DEC6
Language:
Slovenian
Work type:
Master's thesis/paper
Typology:
2.09 - Master's Thesis
Organization:
FZV - Faculty of Health Sciences
Abstract:
V urgentnih ambulantah je plinska analiza arterijske krvi (PAAK) sestavni del ocene zdravstvenega stanja bolnikov z akutno dihalno odpovedjo ali metabolnimi motnjami. PAAK je zlati standard, vendar se zaradi bolj enostavnega odvzema, manj bolečega posega in manjšega tveganja za zaplete vse pogosteje uporablja plinska analiza periferne venske krvi (PAPVK). Ugotoviti smo želeli, če pri bolnikih z akutno dihalno odpovedjo ali dispnejo in s sumom na okužbo s SARS-CoV-2, pri katerih je klinično indiciran PAAK, zadostuje že odvzem PAPVK. Uporabili smo kvantitativno metodologijo z retrospektivno metodo dela. Primerjali smo rezultate izvidov PAAK in PAVK pri bolnikih z akutno dihalno odpovedjo ali dispnejo in s sumom na SARS-CoV-2, pri katerih so odvzeli kri za določitev PAAK in PAPVK. Ugotovili smo statistično pomembne razlike med PAAK in PAPVK v pCO2, pH in HCO3. Pri vseh bolnikih je obstajala zmerna pozitivna korelacija med arterijskimi in venskimi pH vrednostmi in pCO2. Obstajale so močne in zelo močne pozitivne korelacije med arterijskimi in venskimi vrednostmi HCO3. Med arterijskimi in venskimi vrednostmi SpO2 je bila šibka korelacija. Med posameznimi rezultati obstajajo konstantne razlike med vrednostmi PAAK in PAPVK. Ugotovili smo, da obstajajo razlike med PAAK in PAPVK, vendar so te predvidljive, kar omogoča zanesljiv preračun vrednosti PAPVK v PAAK. Uporaba PAPVK namesto PAAK bi lahko močno olajšala delo pri bolnikih z okužbo s SARS-CoV-2 zaradi bolj enostavnega poteka odvzema krvi za določitev laboratorijskih preiskav, pri vseh bolnikih pa bi se lahko izognili bolečini in tveganju za zaplete ob PAAK.
Keywords:
Plinska analiza arterijske krvi
,
plinska analiza periferne venske krvi
,
občutek težkega dihanja
,
korona virus in akutni respiratorni distres sindrom.
Place of publishing:
Maribor
Publisher:
[M. Ferčec]
Year of publishing:
2022
PID:
20.500.12556/DKUM-83427
UDC:
616.24-008.4(043.2)
COBISS.SI-ID:
137640963
Publication date in DKUM:
25.01.2023
Views:
1362
Downloads:
197
Metadata:
Categories:
FZV
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:
FERČEC, Marjan, 2022,
Uporaba plinske analize periferne venske krvi pri bolnikih z akutno dihalno odpovedjo
[online]. Master’s thesis. Maribor : M. Ferčec. [Accessed 23 March 2025]. Retrieved from: https://dk.um.si/IzpisGradiva.php?lang=eng&id=83427
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Licences
License:
CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:
http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:
The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:
24.11.2022
Secondary language
Language:
English
Title:
Use of peripheral venous blood gases analysis in patients with acute respiratory failure
Abstract:
Arterial blood gas analysis (ABGA) is an integral part of the assessment of the patient's health status in emergency departments with acute respiratory or metabolic disease. Traditionally, ABGAs have been used, but venous blood gas analyzes (VBGAs) are more commonly used in emergencies. We wanted to determine whether, in the case of presentation with acute respiratory failure or dyspnea, in which ABGA is clinically indicated, only less invasive removal of VBGA is sufficient. We used a quantitative methodology with a retrospective method of work. We reviewed the results of ABGA and VBGA patient findings and diagnostic procedures of patients with acute respiratory failure and dyspnea with suspected SARS-CoV-2. We found statistically significant differences between ABG and VGA in pCO2, pH and HCO3. There was a moderate positive correlation between arterial and venous pH and pCO2 values. There were strong strong positive correlations between arterial and venous HCO3 values and weak correlation between arterial and venous SO2 values. Therefore, there is a similar predicted difference between ABGA and VBGA values between individual results. Our research has shown that there are differences between ABGA and VBGA, but they are predictable, which enables a reliable conversion of VBGA to ABGA. The use of VBGA instead of ABGA could greatly facilitate the work of patients with COVID-19 due to a simpler blood collection procedure for determining laboratory tests. Pain and risk of complications of ABGA could be avoided in all patients.
Keywords:
Arterial blood gas analysis
,
peripheral venous blood gas analysis
,
dispnea
,
corona virus and acute respiratory distress syndrome.
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