Michael Winterdahl

Clinical evaluation of the accuracy and precision of the CDI 500 in-line blood gas monitor with and without gas calibration

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

  • Anne Louise Bellaiche, Hjerte-lunge-karkirurgisk afd. T, Aarhus Universitetshospital
  • ,
  • Peter Fast Nielsen, Hjerte-lunge-karkirurgisk afd. T, Aarhus Universitetshospital
  • ,
  • Steven Brantlov, Aarhus University
  • ,
  • Marianne B Møller, Anæstesiologisk afdeling I, Aarhus Universitetshospital
  • ,
  • Michael Winterdahl
During cardiopulmonary bypass blood gases can be analyzed with laboratory equipment or with an in-line monitor giving instant results. The manufacturer of the CDI 500 in-line blood gas monitor recommends gas calibration before use. In acute cases there may not be time to perform a gas calibration. We hypothesized that after calibration against laboratory results, the CDI values of pH, pO2, and pCO2 will keep the same level of accuracy, whether the CDI has been gas calibrated or not. We performed a prospective randomized observational study using a study group without gas calibration (29 patients) and a control group with gas calibration (29 patients). Blood sampling was done at the beginning of bypass, and 30 minutes later. After each blood sample the CDI was in-vivo calibrated to the values simultaneously obtained from the ABL. Before in-vivo calibration values from the CDI without gas calibration were significantly different from the ABL-values in accuracy as well as precision, whereas the results from the gas calibrated CDI were largely consistent with the ABL. Before in-vivo calibration, the CDI without gas calibration was completely unreliable. After in-vivo calibration there was no statistical difference between the values of the CDI with and without calibration. We recommend gas calibration of the CDI before use in the period before in-vivo calibration.
Original languageEnglish
JournalJournal of Extra-Corporeal Technology
Volume43
Issue2
Pages (from-to)53-7
Number of pages5
ISSN0022-1058
Publication statusPublished - 1 Jun 2011

    Research areas

  • Blood Gas Monitoring, Transcutaneous, Calibration, Carbon Dioxide, Cardiopulmonary Bypass, Case-Control Studies, Extracorporeal Circulation, Humans, Oximetry, Oxygen, Prospective Studies, Reproducibility of Results

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