Blood Gas Analysis and Hemoximetry
Publication Date: March 1, 2014
Last Updated: March 14, 2022
RECOMMENDATIONS
BGA and hemoximetry are recommended for evaluating a patient’s ventilatory, acid-base, and/or oxygenation status. (1 – StrongA)
679
BGA and hemoximetry are suggested for evaluating a patient’s response to therapeutic interventions. (2 – WeakB)
679
BGA and hemoximetry are recommended for monitoring severity and progression of documented cardiopulmonary disease processes. (1 – StrongA)
679
Hemoximetry is recommended to determine the impact of dyshemoglobins on oxygenation. (1 – StrongA)
679
Capillary BGA is not recommended to determine oxygenation status. (1 – StrongA)
679
Central venous BGA and hemoximetry are suggested to determine oxygen consumption in the setting of early goal-directed therapies. (2 – WeakB)
679
For the assessment of oxygenation, a peripheral venous PO2 is not recommended as a substitute for an arterial blood measurement (PaO2 ). (1 – StrongA)
679
It is not recommended to use venous PCO2 and pH as a substitute for arterial blood measurement of PaCO2 and pH. (2 – WeakB)
679
It is suggested that hemoximetry is used in the detection and evaluation of shunts during diagnostic cardiac catheterization. (2 – WeakB)
679
Recommendation Grading
Overview
Title
Blood Gas Analysis and Hemoximetry
Authoring Organization
American Association for Respiratory Care
Publication Month/Year
March 1, 2014
Last Updated Month/Year
August 24, 2023
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
The update of this clinical practice guideline is based on 237 clinical trials, 54 reviews, and 23 meta-analyses on blood gas analysis (BGA) and hemoximetry.
Target Patient Population
Patients requiring blood gas analysis
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Infant, Older adult
Health Care Settings
Emergency care, Hospital, Laboratory services, Medical transportation, Operating and recovery room
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Diagnosis
Diseases/Conditions (MeSH)
D001784 - Blood Gas Analysis
Keywords
hemoximetry, blood gas analysis
Source Citation
Respiratory Care October 2013, 58 (10) 1694-1703; DOI: https://doi.org/10.4187/respcare.02786
Methodology
Number of Source Documents
91
Literature Search Start Date
January 1, 1990
Literature Search End Date
December 1, 2012