Hi Richard, VBG must be obtained from central access point - junction of RA and SVC or from pulmonary artery - to permit interpretation. Most patients lack central access at time they are screened. VBG from a peripheral vein is of little or no value. Central saturation and CVP before resuscitation (forgive me for this blasphemy) - if readily available from a dialysis catheter, PICC or port - may help guide the resuscitation effort, or at least make you think twice about your patient.
Hope this helps. Ron Elkin MD California Pacific Medical Center San Francisco On Nov 30, 2015 2:21 PM, "Rutherford, Richard" < [email protected]> wrote: > Hello all, > > > My hospital is considering expanding our sepsis screening so that a > VBG+Lactate is checked for every patient with a positive sepsis screen > (instead of lactate alone). Have any other hospitals done this? Does > anyone have a second set of criteria for sicker patients for whom VBG is > ordered? > > > Thanks, > > > Richard Rutherford, M.D. > Quality Medical Director, Ventura County Medical Center > 3291 Loma Vista Road, Ventura, CA 93003 > (805) 665-8234 (cell) > (805) 652-6096 (office) > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > >
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