20.500.12556/DiRROS-26662 Primerljivost parametrov plinske analize arterijske in venske krvi pri življenjsko ogroženem pacientu sistematični pregled literature Comparability of arterial and venous blood gas analysis parameters in life-threatened patient a systematic review Uvod: Oceno metabolnega, kardiovaskularnega in respiratornega stanja pri življenjsko ogroženem odraslem pacientu diagnosticiramo s plinsko analizo arterijske krvi. Ta je mogoča tudi na osnovi venskega vzorca krvi, katerega odvzem je za pacienta manj invaziven. Namen pregleda literature je ugotoviti primerljivost vrednosti parametrov pH, HCO₃, pCO₂, pO₂, Na, K in Cl med plinsko analizo arterijske in venske krvi pri življenjsko ogroženem odraslem pacientu. Metode: Sistematični pregled literature je potekal v mednarodnih bazah podatkov CINAHL, PubMed, Cohrane Library, Web of Science, Wiley Online Library in iskalniku Google Scholar v obdobju objav med letoma 2014 in 2024. Uporabljen je bil iskalni niz v angleškem jeziku: (life-threatened patient OR critically ill patient) AND (arterial blood gas OR venous blood gas OR VBG OR ABG) AND (compare OR difference). Pri vključenih posameznih kvantitativnih raziskavah je bila ocenjena kakovost, ugotovitve pa so bile povzete opisno. Rezultati: V končno analizo je bilo vključenih 12 raziskav, ki so bile ocenjene z zmerno in visoko kakovostjo po ocenjevalnih orodjih Joanna Briggs Institute. Pri osmih raziskavah je bila ugotovljena zelo močna primerljivost parametrov pH (r = 0,729–0,979) in HCO₃ (r = 0,7–0,97) med vzorci arterijske in venske krvi. Iz vzorca venske krvi je bila ugotovljena šibka in zmerna primerljivost za parametre pCO2 (r = 0,491–0,95), pO₂ (r = –0,027–0,34), Na (r = 0,652–0,92), K (r = 0,6–0,91) in Cl (r = 0,73–0,94). Diskusija in zaključek: Ugotovitve raziskav kažejo, da je uporaba vzorca venske krvi primerljiva za analizo parametrov pH in HCO₃. Predlagano je nadaljnje raziskovanje primerljivosti parametrov pCO2, pO₂, Na, K in Cl. Introduction: The assessment of metabolic, cardiovascular and respiratory status in a life-threatened adult patient is diagnosed by arterial blood gas analysis. This is also possible on the basis of a venous blood sample, the collection of which is less invasive for the patient. The aim of this literature review was to determine the comparability of pH, HCO₃, pCO₂, pO₂, Na, K and Cl values in the gas analysis of arterial and venous blood in a life-threatened adult patient. Methods: We conducted a systematic literature review of the literature in the CINAHL, PubMed, Cochrane Library, Web of Science, Wiley Online Library and Google Scholar international citation databases between 2014 to 2024. The following English-language search string was used: (life-threatened patient OR critically ill patient) AND (arterial blood gas OR venous blood gas OR VBG OR ABG) AND (compare OR difference). The quantitative studies included were assessed for quality, and the results were summarised descriptively. Results: A total of 12 studies were included in the final analysis, which were rated as moderate and high quality according to the Joanna Briggs Institute appraisal tools. Eight studies showed a very strong comparability of the pH (r = 0.729 – 0.979) and HCO₃ (r = 0.7 – 0.97) parameters was found between arterial and venous blood samples. Weak and moderate comparability was found for the pCO₂ (r = 0.491 – 0.95), pO₂ (r = ‒0.027 – 0.34), Na (r = 0.652 – 0.92), K (r = 0.6 – 0.91) and Cl (r = 0.73 – 0. 94) parameters. Discussion and conclusions: The research results show that the use of a venous blood sample is comparable for the analysis of pH and HCO₃ parameters. Further investigation of the comparability of the pCO₂, pO₂, Na, K and Cl parameters is suggested. vzorec venske krvi vzorec arterijske krvi podobnost vrednosti parametrov urgentno stanje arterial blood sample venous blood sample urgent patient condition similarity of parameter values true false true Zbornica zdravstvene in babiške nege Slovenije, Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije Slovenski jezik Angleški jezik Neznano 2026-01-28 00:40:27 2026-01-28 00:40:27 2026-03-06 03:56:38 0000-00-00 00:00:00 2025 0 0 str. 103-112 št. 2 Letn. 59 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2025-06-14 612.114 1318-2951 10.14528/snr.2025.59.2.3283 239364867 https://doi.org/10.14528/snr.2025.59.2.3283 1 8f7cbba4-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39273 https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/3283 1 8f77ecdd-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39272 obzornik_2025-59-2__C_Bele.pdf obzornik_2025-59-2__C_Bele.pdf 1 FE4979B193733EF01503CD8DF9095C38 0b8cd4da90f0f88e17a3b4c3f657407d887ce00782022044d1b534abf7d61550 5a6d1fe4-1872-11f1-81cd-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=41267 Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije Obzornik zdravstvene nege 0 0 0