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Abstract Hypothesis Central venous blood gas (VBG) measurements of pH, P CO 2, and base excess can be substituted for the same values obtained from an arterial blood gas (ABG) analysis in mechanically ventilated trauma patients, obviating the need for arterial puncture. Design and Setting Prospective comparison of 99 sets of VBGs and ABGs at a level 1 academic trauma center.

Patients A consecutive sample of 25 trauma patients admitted to the intensive care unit who required mechanical ventilation and had both central venous and arterial catheters. Main Outcome Measures Pearson correlations and Bland-Altman limits of agreement (LOAs) for pH, P CO 2, and base excess values from each set of VBGs and ABGs. Results When VBG and ABG values were compared, pH had R = 0.92, P 50 mm Hg).

Conclusions Central venous and arterial P CO 2, pH, and base excess values correlate well, but their LOAs represent clinically significant ranges that could affect management. Although VBGs cannot be substituted for ABGs in mechanically ventilated trauma patients during the initial phases of resuscitation, clinically reliable conclusions can be reached with VBG analysis. Our level 1 trauma center at Oregon Health and Science University, Portland, has more than 2000 trauma admissions per year, and 37% of them are to the intensive care unit.

Arterial blood gas (ABG) analysis represents the criterion standard for determining a ventilated patient’s acid-base status. These ABGs are obtained by arterial puncture or an indwelling arterial catheter.

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MegaMatcher SDK Large-scale AFIS and multi-biometric identification [Product menu] [Show overview] MegaMatcher is designed for large-scale AFIS and multi-biometric systems developers. The technology ensures high reliability and speed of biometric identification even when using large databases. An integrator should obtain a MegaMatcher On Card 10.0 SDK (EUR 439) to develop a end-user product based on MegaMatcher On Card technology. The SDK needs to be purchased just once and may be used for all projects and by all the developers within the integrator’s company. MegaMatcher SDK is intended for large-scale AFIS / ABIS projects and includes specialized components and biometric engines for biometric data capture, template extraction and matching.

There are risks associated with these 2 methods, including pain, hematoma, aneurysm formation, thrombosis or embolization, and needlestick injuries to health care providers. - The information obtained from an ABG analysis includes pH (reference range, 7.37-7.44), P CO 2 (32-43 mm Hg), P O 2 (72-104 mm Hg), oxygen saturation (92%-98%), base excess (BE) (+2.3 to −2.3), and bicarbonate levels (21-27 mEq/L). All of these values are useful in the treatment of patients in the intensive care unit, but some of them can be obtained from venous blood during the routine blood drawing for laboratory values, which would alleviate the need to draw blood from or have a catheter placed into a patient’s artery. Previous studies have examined the relationship between arterial, venous, and capillary blood gas samples., - Even though arterial, venous, and capillary blood gas P CO 2 values correlate statistically, the venous values are generally 6 mm Hg greater than the arterial values., This difference may be clinically significant and alter the management of a patient’s ventilator settings.