Agreement between paired blood gas values in samples transported either by a pneumatic system or by human courier

John Victor Peter, Shalom Patole, Jude Joseph Fleming, Ratnasamy Selvakumar, Petra L. Graham*

*Corresponding author for this work

    Research output: Contribution to journalArticle

    14 Citations (Scopus)

    Abstract

    Background: Rapid accurate assessment of metabolic derangements is crucial in the critically ill. We evaluated if arterial blood gas (ABG) samples transported through a pneumatic tube system (PTS) agreed with values transported by a human courier. Methods: In this prospective study of 50-paired ABG samples, the couriered reference ABG was compared with those transported by PTS. Agreement was summarised by the mean difference with 95% limits of agreement (LOA) and Lin's concordance correlation (pc). Results: The mean (±SD) time from sampling to analysis was 35.7±23.2 (courier) and 38.6±22.1 (PTS) minutes. Agreement was good between courier and PTS for pH, PaCO 2, bicarbonate, oxygen saturation and PaO 2 values (pc>0.97). Although the mean difference in PaO 2 values between PTS and courier was small (-0.9 mm Hg) and the agreement was good, individual differences were clinically significant (95% LOA -40.8 to 39.0). For PaO 2 <160 mm Hg, analysis of PTS samples yielded erroneously high PaO 2 values and vice versa for PaO 2>160 mm Hg compared to manual courier. This suggested exaggerated oxygen movement between the blood sample and air in the PTS. Conclusions: In this study, analysis of samples transported through the PTS resulted in clinically unacceptable PaO 2 values. Delay in transport and analysis of ABG samples should be avoided and samples transported manually if they cannot be assessed on-site.

    Original languageEnglish
    Pages (from-to)1303-1309
    Number of pages7
    JournalClinical Chemistry and Laboratory Medicine
    Volume49
    Issue number8
    DOIs
    Publication statusPublished - 1 Aug 2011

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