Cited by 90Clinical Laboratory Practices and Quality ControlBacterial Identification and Susceptibility TestingRenal function and acid-base balance

Preanalytical considerations in blood gas analysis

Open access
Baird, Geoffrey·2013·Biochemia Medica

Abstract

Blood gas testing is a commonly ordered test in hospital settings, where the results almost always have the potential to dictate an immediate or urgent response. The preanalytical steps in testing, from choosing the correct tests to ensuring the specimen is introduced into the instrument correctly, must be perfectly coordinated to ensure that the patient receives appropriate and timely therapy in response to the analytical results. While many of the preanalytical steps in blood gas testing are common to all laboratory tests, such as accurate specimen labeling, some are unique to this testing because of the physicochemical properties of the analytes being measured. The common sources of preanalytical variation in blood gas testing are reviewed here.

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  • POCT is commonly performed in healthcare settings located outside of direct jurisdiction and control of the laboratory.

    “Thus, considering that POCT is commonly performed in healthcare settings located outside of direct jurisdiction and control of the laboratory, reinforced education on all potential preanalytical errors must be delivered to all healthcare professionals who have direct responsibility for performing POCT [64].”

    From Point-of-care testing: state-of-the art and perspectives (2025) · cites this paper as [64]

    The POC Considerations section says point-of-care blood gas testing is common in operating rooms, emergency rooms, and the field, supporting the claim that it often occurs outside the laboratory. It does not establish that those settings are outside the laboratory’s direct jurisdiction or control; physical location alone does not settle that qualifier. The sentence’s call for reinforced education is the citing authors’ conclusion, not the point assessed here. (LLM, conf=0.82)

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Research works printed but not linked: 5

  1. [9]CLSI Blood gas and ph analysis and related measurements; approved guideline - second edition. Vol. CLSI Document C46-A2 Wayne, PA Clinical and Laboratory Standards Institute 2010
  2. [14]Raffin TA Indications for arterial blood gas analysis Ann Intern Med 1986 105 390 8 3090920
  3. [22]Cebul RD Beck JR Biochemical profiles. Applications in ambulatory screening and preadmission testing of adults Ann Intern Med 1987 106 403 13 3813238
  4. [35]CLSI Procedures and devices for the collection of diagnostic capillary blood specimens; approved standard - 6th edition. Vol. CLSI Document H04-A6 Wayne, PA Clinical Laboratory Standards Institute 2008
  5. [59]Scott M LeGrys V Klutts J Eletrolytes and blood gases Burtis C Ashwood E Bruns D Tietz textbook of clinical chemistry and molecular diagnostics, Vol St. Louis, MO Elsevier Saunders 2006 1008

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Authors
Baird, G.
Affiliations
University of Washington (US)
Corresponding author
Baird, Geoffrey
Venue
Biochemia Medica
Published
2013
Volume
23
Issue
1
Pages
19-27
ISSN
  • 1330-0962 (ISSN-L)
  • 1846-7482
OpenAlex
W2052096223
Cited by
90
References
59
Citations by year
2026: 5 · 2025: 5 · 2024: 13 · 2023: 10 · 2022: 12 · 2021: 8 · 2020: 3 · 2019: 10 · 2018: 10 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 1 · 2013: 1
FWCI
0.37
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Biochemia Medica (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Hrčak Portal of scientific journals of Croatia (University Computing Centre) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Bacterial Identification and Susceptibility Testing
  • Health Sciences › Medicine › Nephrology › Renal function and acid-base balance
Keywords
blood gas analysis, pre-analytical variables, pre-analytical variability, sample handling, specimen labels, point-of-care testing, clinical laboratory testing
MeSH terms
Blood Gas Analysis, Diagnostic Errors, Humans, Specimen Handling, Clinical Laboratory Techniques

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