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An arterial blood gas (ABG) test, or arterial blood gas analysis (ABGA) measures the amounts of arterial gases, such as oxygen and carbon dioxide. An ABG test requires that a small volume of blood be drawn from the radial artery with a syringe and a thin needle , [ 1 ] but sometimes the femoral artery in the groin or another site is used.
A blood gas test or blood gas analysis tests blood to measure blood gas tension values, it also measures blood pH, and the level and base excess of bicarbonate.The source of the blood is reflected in the name of each test; arterial blood gases come from arteries, venous blood gases come from veins and capillary blood gases come from capillaries. [1]
In the arterial system, bubbles (arterial gas embolism) are far more dangerous because they block circulation and cause infarction (tissue death, due to local loss of blood flow). In the brain, infarction results in stroke , and in the spinal cord it may result in paralysis .
Arterial blood gases (ABGs) are a helpful measurement in pulmonary function testing in selected patients. The primary role of measuring ABGs in individuals that are healthy and stable is to confirm hypoventilation when it is suspected on the basis of medical history, such as respiratory muscle weakness or advanced COPD .
An SaO 2 (arterial oxygen saturation, as determined by an arterial blood gas test [8]) value below 90% indicates hypoxemia (which can also be caused by anemia). Hypoxemia due to low SaO 2 is indicated by cyanosis. Oxygen saturation can be measured in different tissues: [8]
Arterial gas embolism is caused by gas in the lungs getting into the pulmonary venous circulation through injuries to the capillaries of the alveoli caused by lung overpressure injury. These bubbles are then circulated to the tissues via the systemic arterial circulation, and may cause blockages directly or indirectly by initiating clotting.
arterial blood gas: hco 3 − = 24 p a co 2 = 40 p a o 2 = 95 ph = 7.40 alveolar gas: p a co 2 = 36 p a o 2 = 105 a-a g = 10 other: ca = 9.5 mg 2+ = 2.0 po 4 = 1 ck = 55 be = −0.36 ag = 16 serum osmolarity/renal: pmo = 300 pco = 295 pog = 5 bun:cr = 20 urinalysis: una + = 80 ucl − = 100 uag = 5 fena = 0.95 uk + = 25 usg = 1.01 ucr = 60 uo ...
Blood gas tension refers to the partial pressure of gases in blood. [1] There are several significant purposes for measuring gas tension. [ 2 ] The most common gas tensions measured are oxygen tension (P x O 2 ), carbon dioxide tension (P x CO 2 ) and carbon monoxide tension (P x CO). [ 3 ]