Arterial blood gas (ABG) is an essential point-of-care test to identify the pH, metabolic, and respiratory status of critically ill patients. In addition, it provides useful information about co-oximetry, lactate, electrolytes, and other parameters. Studies show that it is widely prescribed but the impact of ABG result on clinical care is limited. Protocols addressing effective utilization of ABG can address and help in minimizing cost and complications.
Lundberg GD. The need for an outcome research agenda for clinical laboratory testing. JAMA 1998;280(6):565–566. DOI: 10.1001/jama.280.6.565.
Sood P, Paul G, Puri S. Interpretation of arterial blood gas. Indian J Crit Care Med 2010;14(2):57–64. DOI: 10.4103/0972-5229.68215.
West JB. The physiological challenges of the 1952 Copenhagen poliomyelitis epidemic and a renaissance in clinical respiratory physiology. J Appl Physiol 2005;99(2):424–432. DOI: 10.1152/japplphysiol.00184.2005.
Siggaard-Andersen O, Fogh-Andersen N. Base excess or buffer base (strong ion difference) as measure of a nonrespiratory acid-base disturbance. Acta Anaesthesiol Scand Suppl 1995;107:123–128. DOI: 10.1111/j.1399-6576.1995.tb04346.x.
Severinghaus JW. Siggaard–Andersen and the “Great Trans-Atlantic Acid-Base Debate”. Scand J Clin Lab Invest Suppl 1993;214:99–104. PMID: 8332859. DOI: 10.1080/00365519309090685.
Morgan TJ. The Stewart approach—one clinician's perspective. Clin Biochem Rev 2009;30(2):41–54. PMID:19565024.
Salam A, Smina M, Gada P, Tilluckdharry L, Upadya A et al. The effect of arterial blood gas values on extubation decisions. Respir Care 2003;48(11):1033–7. PMID: 14585115.
Burri E, Potocki M, Drexler B, Schuetz P, Mebazaa A. Value of arterial blood gas analysis in patients with acute dyspnea: an observational study. Crit Care 2011;15(3):R145. DOI: 10.1186/cc10268.
Chandran J, D'Silva C, Sriram S, Krishna B. Clinical Utility of Arterial Blood Gas Test in an Intensive Care Unit: An Observational Study. Indian J Crit Care Med 2021;25(2):172–175.
Muakkassa FF, Rutledge R, Fakhry SM, Meyer AA, Sheldon GF. ABGs and arterial lines: the relationship to unnecessarily drawn arterial blood gas samples. J Trauma 1990;30(9):1087–1093 [discussion 1093-5]. PMID: 2120467.
Roberts D, Ostryzniuk P, Loewen E, Shanks A, Wasyluk T, et al. Control of blood gas measurements in intensive-care units. The Lancet 1991;337(8757):1580–1582. DOI: 10.1016/0140-6736(91)93271-a.
Melanson SEF, Szymanski T, Rogers Jr SO, Jarolim P, Frendl G, et al. Utilization of arterial blood gas measurement in a large tertiary care hospital. Am J Clin Pathol 2007;127(4):604–609. DOI: 10.1309/ELH5BpQ0T17RRK0M.
Bansal P, Aronsky D, Talbert D, Miller RA. A computer based intervention on the appropriate use of arterial blood gas. Proc AMIA Symp 2001:32–36. PMID: 11825152.
Khanal S. Utilization of arterial blood gas measurement in a tertiary care hospital. J Anaesth Crit Care Open Access 2016;6(2):00219. DOI: 10.15406/jaccoa.2016.06.00219.
DellaVolpe JD, Chakraborti C, Cerreta K, Romero CJ, Firestein CE, et al. Effects of implementing a protocol for arterial blood gas use on ordering practices and diagnostic yield. Healthc (Amst). 2014;2(2):130–135. DOI: 10.1016/j.hjdsi.2013.09.006.
