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May 1972, Vol 123, No. 5 >
Article | May 1972

Arterial Blood Sampling in Babies FREE

Bebe Wunderlich, MD; Robert N. Reynolds, MD
[+] Author Affiliations

Received for publication Aug 11, 1971; accepted Feb 4, 1972.

Reprint requests to Department of Anesthesiology, New England Medical Center Hospitals, 171 Harrison Ave, Boston 02111 (Dr. Wunderlich).


Am J Dis Child. 1972;123(5):446-447. doi:10.1001/archpedi.1972.02110110074002.
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The need for repeated samplings of arterial blood for blood gas analysis in the infant and small child with severe respiratory or circulatory disease leads to technical problems because of the small size of the patient's arteries. On the other hand, blood gas values obtained from arterialized capillary blood correlate poorly with true arterial samples in infants with cardiopulmonary disease.1 Several techniques are available for arterial sampling, including methods of multiple brachial or radial artery sampling.2,3 Umbilical artery catheterization may be used in the first few days of life.4 In older infants, an arterial cutdown may be necessary for placement of an indwelling catheter, while in patients over 15 kg (33 lb) in weight, percutaneous arterial cannulae can usually be placed. It has been established that venous cannulae in situ longer than 48 hours have a far greater incidence of bacterial growth when cultured at time of

REFERENCES

1 +
Gandy G, Grann L, Cunningham N, et al:  The validity of pH and PCO2 measurements in capillary samples in sick and healthy newborn infants . Pediatrics 34:192-197, 1964;.
2 +
Shaw JCL:  Arterial sampling from the radial artery in premature and full term infants . Lancet 2:389-390, 1968;.
3 +
Reynolds EOR:  Arterial blood gas tensions in acute disease of lower respiratory tract in infancy . Brit Med J 1:1192-1195, 1963;.
4 +
Cochran WD, Davis HT, Smith CA:  Advantages and complications of umbilical artery catheterization with newborn . Pediatrics 42:769-777, 1968;.
5 +
Druskin MS, Siegel D:  Bacterial contamination of indwelling intravenous polyethylene catheters . JAMA 185:966-968, 1963;.
6 +
Lowenstein E, Little J, Lo H:  Prevention of cerebral embolization from flushing radial-artery cannulas . New Eng J Med 285; 1971;.
7 +
Bartlett R, Munster A:  An improved technic for prolonged arterial cannulation . New Eng J Med 279:92-93, 1968;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Gandy G, Grann L, Cunningham N, et al:  The validity of pH and PCO2 measurements in capillary samples in sick and healthy newborn infants . Pediatrics 34:192-197, 1964;.
2 +
Shaw JCL:  Arterial sampling from the radial artery in premature and full term infants . Lancet 2:389-390, 1968;.
3 +
Reynolds EOR:  Arterial blood gas tensions in acute disease of lower respiratory tract in infancy . Brit Med J 1:1192-1195, 1963;.
4 +
Cochran WD, Davis HT, Smith CA:  Advantages and complications of umbilical artery catheterization with newborn . Pediatrics 42:769-777, 1968;.
5 +
Druskin MS, Siegel D:  Bacterial contamination of indwelling intravenous polyethylene catheters . JAMA 185:966-968, 1963;.
6 +
Lowenstein E, Little J, Lo H:  Prevention of cerebral embolization from flushing radial-artery cannulas . New Eng J Med 285; 1971;.
7 +
Bartlett R, Munster A:  An improved technic for prolonged arterial cannulation . New Eng J Med 279:92-93, 1968;.

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