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J Korean Soc Emerg Med > Volume 28(5); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(5): 431-440.
동맥혈 가스 검사 방법에 있어 헤파린 수동 코팅 방법과 헤파린 코팅 제품 사용 방법에 따른 전해질 및 혈색소 측정의 정확성 비교
박정민, 박원빈, 김진주, 민경진, 최우성, 장재호, 임용수, 양혁준
가천대학교 의과대학 길병원 응급의학과
Comparison of the Accuracy of Syringes Washed with Heparin, Manually and Heparin Coated Product for Arterial Blood Gas Analysis on Electrolytes and Hemoglobin
Jung Min Park, Won Bin Park, Jin Joo Kim, Kyung Jin Min, Woo Sung Choi, Jae Ho Jang, Yong Su Lim, Hyuk Jun Yang
Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
Correspondence  Won Bin Park ,Tel: 032-460-3901, Fax: 032-460-3019, Email: o1bin2@naver.com,
Received: June 29, 2017; Revised: July 3, 2017   Accepted: July 26, 2017.  Published online: October 31, 2017.
ABSTRACT
Purpose:
The results of arterial blood gas analysis using conventional liquid sodium heparin syringes are inaccurate due to the dilution effect, chelation of heparin and the electrolyte, and interference of the heparin electrolyte measurement. This study compared the accuracy of using heparin with a liquid sodium heparin syringe (LHs) and balanced lithium/zinc heparin syringe (BHs).
Method:
This study evaluated 6,778 cases who underwent an arterial blood gas test, serum electrolytes test, and complete blood count test among patients aged 18 years or older who visited the emergency room from November 1, 2016 to March 3, 2017. Finally, there were 2,383 cases using LHs and 2,584 cases using BHs. The results were compared between the groups using the LHs and BHs for sodium, potassium, and hemoglobin, and the agreement was compared using the Bland-Altman plot.
Results:
Sodium difference value was the 5.714±5.696 mmol/L in the LHs group, -1.549±3.339 mmol/L in the BHs group. The potassium difference value was -0.650±0.494 mmol/L (LHs group) and -0.257±0.367 mmol/L (BHs group). The hemoglobin difference values were -0.556±1.116 g/dL (LHs group) and -0.170±1.062 g/dL (BHs group). The results showed that the BHs group was improved compared to the LHs group (p<0.001).
Conclusion:
The results of arterial blood gas analysis of sodium, potassium, and hemoglobin were more accurate for the BHs group than the LHs group based on the serum electrolytes and complete blood counts.
Key words: Electrolytes, Sodium, Potassium, Hemoglobin, Heparin
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