NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

A systematic error in the determination of blood PCO2.

Author(s): Hansen JE, Simmons DH

Publication: Am Rev Respir Dis, 1977, Vol. 115, Page 1061-3

PubMed ID: 45377 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of sodium heparin volume on blood gas determination.

Conclusion of Paper

Dilution of blood with sodium heparin had no effects on pH, but the partial pressure carbon dioxide (pCO2), bicarbonate and base excess decreased proportionally with the dilution factor. The authors recommend the use of larger specimen volumes to decrease the dilution effects without increasing air exposure.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of sodium heparin volume on pCO2, bicarbonate, base excess and pH in blood specimens. On 4 days, a single specimen of anti-coagulated venous blood was added to syringes containing various volumes of sodium heparin, mixed by hand, and iced. Specimens were warmed to 37 degrees C for analysis.

    Summary of Findings:

    Dilution of blood with sodium heparin had no effects on specimen pH, but pCO2, bicarbonate and base excess decreased proportionally with the dilution factor. The authors recommend the use of larger specimen volumes to decrease the dilution effects without increasing air exposure.

    Biospecimens
    Preservative Types
    • Other Preservative
    Diagnoses:
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Gas Clinical chemistry/auto analyzer
    Small molecule pH
    Small molecule Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Anticoagulant Multiple concentrations evaluated
    Sodium heparin

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