Different manufacturers of syringes: A new source of variability in blood gas, acid-base balance and related laboratory test?

Clinical Biochemistry

Volumn 45, Issue 9, 2012, Pages 683-687

  Lima Oliveira, Gabriel ^a,b,c,d   Lippi, Giuseppe ^e   Salvagno, Gian Luca ^a   Montagnana, Martina ^a   Picheth, Geraldo ^b   Guidi, Gian Cesare ^a,b  

^a UNIVERSITY OF VERONA   (Italy)

^b FEDERAL UNIVERSITY OF PARANÁ   (Brazil)

^c MERCOSUL: Sector Committee of Clinical Analyses and in Vitro Diagnostics CSM 20   (Brazil)

^d Brazilian Society of Clinical Analyses on Sao Paulo State   (Brazil)

^e UNIVERSITY HOSPITAL OF PARMA   (Italy)

Author keywords

Blood gas; Blood specimen collection; Heparin; Intensive care unit; ISO 15189; Preanalytical variability; Syringe

Indexed keywords

CALCIUM; GLUCOSE; HEMOGLOBIN; HEPARIN; LACTIC ACID; POTASSIUM; SODIUM;

ACID BASE BALANCE; ADULT; ARTICLE; BLOOD GAS ANALYSIS; BLOOD SAMPLING; CALCIUM BLOOD LEVEL; CARBON DIOXIDE TENSION; FEMALE; GLUCOSE BLOOD LEVEL; HEMOGLOBIN BLOOD LEVEL; HUMAN; LABORATORY TEST; LACTATE BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; OXYGEN TENSION; POTASSIUM BLOOD LEVEL; PRIORITY JOURNAL; SODIUM BLOOD LEVEL; SYRINGE;

ACID-BASE EQUILIBRIUM; BLOOD GAS ANALYSIS; BLOOD SPECIMEN COLLECTION; ELECTROLYTES; FEMALE; HEPARIN; HUMANS; HYDROGEN-ION CONCENTRATION; MALE; SYRINGES;

EID: 84861234251     PISSN: 00099120     EISSN: 18732933     Source Type: Journal    
DOI: 10.1016/j.clinbiochem.2012.03.007     Document Type: Article

References (41)

1. Carraro P., Plebani M. Errors in a stat laboratory: types and frequencies 10years later. Clin Chem 2007, 53:1338-1342.
2. Plebani M., Carraro P. Mistakes in a stat laboratory: types and frequency. Clin Chem 1997, 43:1348-1351.
3. Lippi G., Fostini R., Guidi G.C. Quality improvement in laboratory medicine: extra-analytical issues. Clin Lab Med 2008, 28:285-294.
4. Lippi G., Guidi G.C. Risk management in the preanalytical phase of laboratory testing. Clin Chem Lab Med 2007, 45:720-727.
5. Pinto A., Burnett S., Benn J., Brett S., Parand A., Iskander S., et al. Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. J Eval Clin Pract 2011, 17:180-187.
6. Cembrowski G.S., Tran D.V., Higgins T.N. The use of serial patient blood gas, electrolyte and glucose results to derive biologic variation: a new tool to assess the acceptability of intensive care unit testing. Clin Chem Lab Med 2010, 48:1447-1454.
7. Lima-Oliveira G., Salvagno G.L., Lippi G., Montagnana M., Scartezini M., Picheth G., et al. Elimination of the venous stasis error for routine coagulation testing by transillumination. Clin Chim Acta 2011, 412:15-16.
8. Lima-Oliveira G., Lippi G., Salvagno G.L., Montagnana M., Scartezini M., Guidi G.C., et al. Transillumination: a new tool to eliminate the impact of venous stasis during the procedure for the collection of diagnostic blood specimens for routine haematological testing. Int J Lab Hematol 2011, 33:457-462.
9. Lippi G., Guidi G.C. Preanalytic indicators of laboratory performances and quality improvement of laboratory testing. Clin Lab 2006, 52:457-462.
10. Salvagno G.L., Lippi G., Gelati M., Guidi G.C. Hemolysis, lipaemia and icterus in specimens for arterial blood gas analysis. Clin Biochem 2012, http://dx.doi.org/10.1016/j.clinbiochem.2011.12.005.
11. Breidthadt T., Laule K., Strohmeyer A.H., Schindler C., Meier S., Fischer M., et al. Medical and economic long-term effects of B-type natriuretic peptide testing in patients with acute dyspnea. Clin Chem 2007, 53:1415-1422.
12. Burri E., Potocki M., Drexler B., Schuetz P., Mebazaa A., Ahlfeld U., et al. Value of arterial blood gas analysis in patients with acute dyspnea: an observational study. Crit Care 2011, 15:R145.
13. Simpson H. Interpretation of arterial blood gases: a clinical guide for nurses. Br J Nurs 2004, 13:522-528.
14. Stankovic A.K., Silvestri J., Mails M., Najork C. Total quality in laboratory diagnostics: the role of commercial companies. Biochem Med 2010, 20:207-214.
15. NCCLS, procedures for the collection of arterial blood specimens; approved standard NCCLS document H11-A4 2004, NCCLS, Wayne, PA. Fourth Edition.
16. Clinical and Laboratory Standards Institute, blood gas and pH analysis and related measurements; approved guideline, CLSI document C46-A2 2009, Clinical and Laboratory Standards Institute, Wayne, PA. Second Edition.
17. Ricos C., Alvarez V., Cava F., Garcia-Lario J.V., Hernandez A., Jimenez C.V., et al. Current databases on biological variation: pros, cons and progress. Scand J Clin Lab Invest 1999, 59:491-500.
18. Lippi G., Ippolito L., Fontana R. Prevalence of hemolytic specimens referred for arterial blood gas analysis. Clin Chem Lab Med 2011, 49:931-932.
19. Izquierdo M., Ribas M.S. Importance of correcting the temperature in the determination of arterial gasometry. Arch Bronconeumol 1997, 33:104-106.
20. Shapiro B.A. Temperature correction of blood gas values. Respir Care Clin N Am 1995, 1:69-76.
21. Bisson J., Younker J. Correcting arterial blood gases for temperature: (when) is it clinically significant?. Nurs Crit Care 2006, 11:232-238.
22. Lu J.Y., Kao J.T., Chien T.I., Lee T.F., Tsai K.S. Effects of air bubbles and tube transportation on blood oxygen tension in arterial blood gas analysis. J Formos Med Assoc 2003, 102:246-249.
23. Graham G., Kenny M.A. Changes in transcutaneous oxygen tension during capillary blood-gas sampling. Clin Chem 1980, 26:1860-1863.
24. Kost G.J., Trent J.K., Saeed D. Indications for measurement of total carbon dioxide in arterial blood. Clin Chem 1988, 34:1650-1652.
25. Burnett W.R., Covington A.K., Fogh-Andersen N., Kulpmann W.R., Maas A.H., Muller-Plathe O., et al. International Federation of Clinical Chemistry (IFCC). Scientific Division. Committee on pH, Blood Gases and Electrolytes. Approved IFCC recommendations on whole blood sampling, transport and storage for simultaneous determination of pH, blood gases and electrolytes. Eur J Clin Chem Clin Biochem 1995, 33:247-253.
26. Burnett R.W., Covington A.K., Fogh-Andersen N., Kulpmann W.R., Maas A.H., Muller-Plathe O., et al. International Federation of Clinical Chemistry (IFCC), Committee on pH, Blood Gases and Electrolytes: approved IFCC recommendation on definitions of quantities and conventions related to blood gases and pH. Eur J Clin Chem Clin Biochem 1995, 33:399-404.
27. Johnson K.R., Mascall G.C., Howarth A.T. Differential laboratory diagnosis of hypercalcemia. Crit Rev Clin Lab Sci 1984, 21:51-97.
28. Baird G.S. Ionized calcium. Clin Chim Acta 2011, 412:696-701.
29. Morton A.R., Garland J.S., Holden R.M. Is the calcium correct? Measuring serum calcium in dialysis patients. Semin Dial 2010, 23:283-289.
30. Toffaletti J., Ernst P., Hunt P., Abrams B. Dry electrolyte-balanced heparinized syringes evaluated for determining ionized calcium and other electrolytes in whole blood. Clin Chem 1991, 37:1730-1733.
31. Toffaletti J. Use of novel preparations of heparin to eliminate interference in ionized calcium measurements: have all the problems been solved?. Clin Chem 1994, 40:508-509.
32. Toffaletti J., Thompson T. Effects of blended lithium-zinc heparin on ionized calcium and general clinical chemistry tests. Clin Chem 1995, 41:328-329.
33. NCCLS, calcium determinations: precollection variables, specimen choice, collection, and handling; approved guideline, NCCLS document C31-A2 2001, NCCLS, Wayne, PA. second edition.
34. Ricos C., Cava F., Garcia-Lario J.V., Hernandez A., Iglesias N., Jimenez C.V., et al. The reference change value: a proposal to interpret laboratory reports in serial testing based on biological variation. Scand J Clin Lab Invest 2004, 64:175-184.
35. Westgard J. Biological Variation Database Specifications Update on January 2012. http://www.westgard.com/biodatabase1.htm.
36. Plebani M., Lippi G. Biological variation and reference change values: an essential piece of the puzzle of laboratory testing. Clin Chem Lab Med 2012, PMID: 22035140. 10.1515/CCLM.2011.751.
37. Yanikkaya-Demirel G. ISO 15189 accreditation: requirements for quality and competence of medical laboratories, experience of a laboratory II. Clin Biochem 2009, 42:279-283.
38. Field J.M., Hazinski M.F., Sayre M.R., Chameides L., Schexnayder S.M., Hemphill R., et al. Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010, 122:S640-S656.
39. Lima-Oliveira G., Lippi G., Salvagno G.L., Montagnana M., Manguera C.L., Sumita N.M., et al. New ways to deal with known preanalytical issues: use of transilluminator instead of tourniquet for easing vein access and eliminating stasis on clinical biochemistry. Biochem Med 2011, 21:152-159.
40. Kavanagh B.P., McCowen K.C. Clinical practice. Glycemic control in the ICU. N Engl J Med 2010, 363:2540-2546.
41. International Organization for Standardization Medical laboratories - particular requirements for quality and competence, ISO document 15189 2007, International Organization for Standardization, Geneva, Switzerland. Second Edition.