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

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