Blood gas testing and related measurements: National recommendations on behalf of the Croatian Society of Medical Biochemistry and Laboratory Medicine.
Blood gas analysis (BGA) is exposed to risks of errors caused by improper sampling, transport and storage conditions. The Clinical and Laboratory Standards Institute (CLSI) generated documents with recommendations for avoidance of potential errors caused by sample mishandling. Two main documents related to BGA issued by the CLSI are GP43-A4 (former H11-A4) Procedures for the collection of arterial blood specimens; approved standard - fourth edition, and C46-A2 Blood gas and pH analysis and related measurements; approved guideline - second edition. Practices related to processing of blood gas samples are not standardized in the Republic of Croatia. Each institution has its own protocol for ordering, collection and analysis of blood gases. Although many laboratories use state of the art analyzers, still many preanalytical procedures remain unchanged. The objective of the Croatian Society of Medical Biochemistry and Laboratory Medicine (CSMBLM) is to standardize the procedures for BGA based on CLSI recommendations. The Working Group for Blood Gas Testing as part of the Committee for the Scientific Professional Development of the CSMBLM prepared a set of recommended protocols for sampling, transport, storage and processing of blood gas samples based on relevant CLSI documents, relevant literature search and on the results of Croatian survey study on practices and policies in acid-base testing. Recommendations are intended for laboratory professionals and all healthcare workers involved in blood gas processing.
Croatian Society of Medical Biochemistry and Laboratory Medicine, Committee for the Scientific Professional Development, Working Group for Blood Gas Testing; University Department of Chemistry, Medical School University Hospital Sestre milosrdnice, Zagreb, Croatia.
Lora
L
Dukić
Croatian Society of Medical Biochemistry and Laboratory Medicine, Committee for the Scientific Professional Development, Working Group for Blood Gas Testing; University Department of Chemistry, Medical School University Hospital Sestre milosrdnice, Zagreb, Croatia.
Lara Milevoj
LM
Kopčinović
Croatian Society of Medical Biochemistry and Laboratory Medicine, Committee for the Scientific Professional Development, Working Group for Blood Gas Testing; University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Department of Medical Biochemistry and Haematology, Zagreb, Croatia.
Adrijana
A
Dorotić
Croatian Society of Medical Biochemistry and Laboratory Medicine, Committee for the Scientific Professional Development, Working Group for Blood Gas Testing; Department of Laboratory Diagnostics, University Hospital Centre Zagreb, Croatia.
Ivana
I
Baršić
D001784:Blood Gas Analysis / Q000379:methods*; D017523:Croatia; D006801:Humans; D017410:Practice Guidelines as Topic; D012955:Societies, Medical
blood gas analysis; error; guideline; standardization