Blood gas analysis

Blood gas analysis characterizes a specified blood specimen using gas tensions and acid-base measurements. Core measured quantities include oxygen and carbon dioxide partial pressures and pH; instruments can also report derived quantities. Co-oximetry supplies related information about hemoglobin species by optical measurement rather than inferring all of them from gas tensions.^[ref]

The specimen's source is part of the result. An arterial sample addresses a different compartment from a peripheral venous sample, where tissues have already exchanged gases with the blood. The sample is analyzed outside the circulation, so collection time, inspired gas, temperature convention and sample handling affect interpretation. The guideline identifies contamination, delay and temperature conventions as distinct limitations.^[ref]

A calculation can look like an additional measurement. For an illustrative bicarbonate equilibrium approximation at a stated temperature, the Henderson-Hasselbalch equation can be writtenwith bicarbonate concentration in mmol/L and carbon-dioxide partial pressure in mmHg. The numerical constants specify this approximation; they are not universal across all temperatures and media. Rearranging givesFor stipulated pH 7.40 and $P_{\mathrm{C}{\mathrm{O}}_2}=40$ mmHg, the calculated value is about 23.94 mmol/L. Holding pH fixed and changing that partial pressure to 60 mmHg raises the calculation to about 35.91 mmol/L. Those derived concentrations do not constitute a third independent observation validating the two inputs.

A sample-specific gas partial pressure also differs from total gas content. Much of transported oxygen is bound to hemoglobin, while measured oxygen tension concerns dissolved oxygen. A panel should therefore identify which values were directly measured, which were computed and which specimen supplied them. Agreement among quantities calculated from one another is internal arithmetic consistency, not independent physiological confirmation.