Hypoxia Clinical Trial
Official title:
Evaluation of Accuracy and Precision of the Proxima 3® (Sphere Medical) Arterial Blood Gas Analysis System in Comparison With the Reference Standard Hospital ABG in a Rapidly Changing Clinical Context
Evaluate the precision and accuracy of the Proxima 3® System by obtaining quantitative clinical data at various time points. Compare the methods associated with obtaining blood gas results using the Proxima 3® System device versus a conventional ABG analyse. The aim of the investigator is to evaluate the precision and accuracy of the Proxima 3® ABG system parameters (pH, pCO2 pO2, hematocrit and potassium) in clinical practices with rapid changing context.
In this study the investigator will test the applicability of the Proxima 3® ABG system in a
heterogeneous patient population consisting of patients scheduled for hybrid atrial
fibrillation surgery, patients scheduled for heart valve surgery, complex cardiac surgery
with deep cooling, spine surgery or patients with expected major blood loss. The investigator
will compare the ABG values obtained with the traditional ABG measurement system of the
hospital.
The availability of a disposable patient-dedicated blood gas analyser allows rapid, frequent
measurement of blood gases in theatre without the loss of theatre staff. As well as
facilitating measurement in the unstable patient, this approach opens up the possibility for
more frequent measurement to identify patient deterioration before a crisis occurs.
The conventional laboratory ABG method uses sensor technology for pH, pCO2, pO2, sodium,
potassium, calcium, glucose and lactate levels. It measures hemoglobin concentration via
spectrophotometry methodology at a set wavelength of 467-672 nm. The blood gas laboratory
uses ABL90 Flex (Radiometer®). The optical system is based on a 138-wavelength
spectrophotometer with a measuring range of 467-672 nm. The spectrophotometer is connected
via an optical fiber to a combined hemolyzer and measuring chamber.
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