Özet:

Purpose: The purpose of this study is to investigate the availability of venous blood gases (VKGs) in the clinic of breast diseases, instead of arterial blood gases (AKGs). Material and Method: This cutting study was conducted in the Breast Disease Clinic between December 2017 and May 2018. The study included 86 patients developing respiratory failure due to primary lung diseases. The events of AKG and VKG were taken and compared. In cases; the relationship between the pH, the particle carbon dioxide pressure (pCO2), the particle oxygen pressure (pO2), the oxygen saturation (SO2) and bikarbonate (HCO3) in the artery and venous blood gases was studied. Results: The average age of 86 incidents included in the study was 70,89±15,54. 36 of the cases (41.90%) were women and 50 (58.10%) were men. 66 (76.70%) of type 1, 20 (23.30%) had type 2 respiratory failure. In arterial and venous blood gases there was a positive correlation in the values of pH, pCO2, HCO3 (r=0,780, p<0,001; r=0,880, p<0,001; r=0,817, p<0,001). The average difference for pH was 0,03±0,76, 95% CI [-0,12-0,19], the average difference for pCO2 -5,45±7,15, 95% CI [-6,98-(-3,92)], the average difference for HCO3 -0,99±3,90% CI [-1,83-(-0,15)]. No correlation was found in PO2 and SO2 values (r=0,167, p=0,124; r=0,079, p=0,472). Result: In this study, positive correlation in arteric and venous blood gases, pH, pCO2 and HCO3 values was observed. These findings suggest that in assessing the acid-based balance in cases observed with the cause of respiratory failure in the breast disease clinic, VKG can be used in place of AKG.

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