CHARACTERISTICS OF NON-INVASIVE BLOOD GAS MEASUREMENT USING AGM100 MEDIPINES IN PATIENT WITH HYPOXEMIC RESPIRATORY FAILURE TREATED WITH INVASIVE MECHANICAL VENTILATION
Main Article Content
Abstract
Objective: To desribe characteristics of non-invasive blood gas measurements using AGM100 MediPines in patients with hypoxemic respiratory failure treated with invasive mechanical ventilation. Participants: Patients with hypoxemic respiratory failure treated with invasive mechanical ventilation at the Center for Critical Care Medicine, Bach Mai Hospital. Methods: This prospective descriptive study was conducted on patients with hypoxemic respiratory failure treated with invasive mechanical ventilation. Key parameters such as SpO2, gPaO2, gPaO2/FiO2, PETCO2, and O2 Deficit were measured using the AGM100 MediPines. Results: There were 30patiens included inthe study with total of 165 non-invasive blood gas measurements. The average age of the patients was 59.7 years, with 69.7% being male. The leading cause of respiratory failure was pneumonia, accounting for 84.9% of cases. Most patients had normal SpO2 levels (> 95%), though 36.4% showed decreased gPaO2 (< 80 mmHg). 74% of patients had gPaO2/FiO2 values ranging from 100 to 300 mmHg, and 94,6% had an O2 Deficit greater than 60 mmHg, indicating severe hypoxemia. Conclusion: The study indicates that the AGM100 MediPines provides valuable data on gas exchange.
Article Details
Keywords
respiratory failure, invasive mechanical ventilation, non-invasive blood gas monitoring, AGM100 MediPines.
References
2. Dukić L, Kopčinović LM, Dorotić A, Baršić I. Blood gas testing and related measurements: National recommendations on behalf of the Croatian Society of Medical Biochemistry and Laboratory Medicine. Biochem Medica. 2016; 26(3):318-336. doi:10.11613/BM.2016.036
3. Severinghaus JW. The invention and development of blood gas analysis apparatus. Anesthesiology. 2002;97(1): 253-256. doi:10. 1097/00000542-200207000-00031
4. Howe CA, MacLeod DB, Wainman L, Oliver SJ, Ainslie PN. Validation of a Noninvasive Assessment of Pulmonary Gas Exchange During Exercise in Hypoxia. Chest. 2020;158(4):1644-1650. doi:10.1016/j.chest.2020.04.017
5. Nolley EP, Sahetya SK, Hochberg CH, et al. Outcomes Among Mechanically Ventilated Patients With Severe Pneumonia and Acute Hypoxemic Respiratory Failure From SARS-CoV-2 and Other Etiologies. JAMA Netw Open. 2023;6(1): e2250401. doi:10.1001/ jamanetworkopen. 2022.50401
6. Reddy MP, Subramaniam A, Chua C, et al. Respiratory system mechanics, gas exchange, and outcomes in mechanically ventilated patients with COVID-19-related acute respiratory distress syndrome: a systematic review and meta-analysis. Lancet Respir Med. 2022;10(12):1178-1188. doi:10.1016/S2213-2600(22)00393-9
7. Razi E, Moosavi GA, Omidi K, Khakpour Saebi A, Razi A. Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Patients. Arch Trauma Res. 2012;1(2):58-62. doi:10.5812/atr.6444