{"id":137,"date":"2011-10-19T16:59:33","date_gmt":"2011-10-19T16:59:33","guid":{"rendered":"http:\/\/emeddoc.org\/?p=137"},"modified":"2011-10-22T21:10:16","modified_gmt":"2011-10-22T21:10:16","slug":"diagnostic-accuracy-of-vbg-in-dka","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=137","title":{"rendered":"Diagnostic Accuracy of VBG in DKA"},"content":{"rendered":"<p>We all know that VBG can be replaced with ABG for a lot of reasons, but our consulatants are still asking for ABG in DKA, COPD, Asthma and etc. I will post some data that show VBG is as good as ABG unless you have a patient under vent. \ufeff<br \/>\n\ufeff<span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Diagnostic Accuracy of Venous Blood Gas Electrolytes for Identifying Diabetic Ketoacidosis in the Emergency Department.<\/span><\/span><\/p>\n<p><!--more--><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">\ufeffThis study published in Academic Emergency Medicine Journal 2011 and authors used ADA&#8217;s criterias for DKA diagnosis (\ufeff\ufeff\ufeff<\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">serum blood glucose 250 mg\u2044 dL, serum anion gap &gt; 10 mEq\u2044 L, bicarbonate\u00a0&lt;= 18 mEq\u2044 L, serum pH&lt; = 7.30). \ufeff\ufeff <\/span><\/span><span style=\"font-family: Times New Roman; color: #000000;\">VBG electrolytes for diagnosing DKA was 97.8% sensitive (95 confidence interval [CI] = 88.5% to 99.9%) and 100% specific(95% CI = 98.8% to 100%). One DKA patient out of fourty six patients was missed based on VBG.<br \/>\n<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21951652\">PUBMED Link<\/a><\/span><\/p>\n<p><span style=\"font-family: AdvVersal-R; font-size: xx-small;\"><span style=\"font-family: AdvVersal-R; font-size: xx-small;\"><br \/>\n<\/span><\/span><\/p>\n<p><span style=\"font-family: AdvVersal-R; font-size: xx-small;\"><span style=\"font-family: AdvVersal-R; font-size: xx-small;\"> <\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We all know that VBG can be replaced with ABG for a lot of reasons, but our consulatants are still asking for ABG in DKA, COPD, Asthma and etc. I will post some data that show VBG is as good as ABG unless you have a patient under vent. \ufeff \ufeffDiagnostic Accuracy of Venous Blood [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,13,14,15,16],"tags":[],"class_list":["post-137","post","type-post","status-publish","format-standard","hentry","category-diabetes","category-pgy1","category-pgy2","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/137","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=137"}],"version-history":[{"count":7,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/137\/revisions"}],"predecessor-version":[{"id":141,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/137\/revisions\/141"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=137"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=137"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}