โก Quick Summary
This comprehensive review on blood gas analysis highlights its critical role in assessing respiratory and metabolic status, emphasizing recent advancements such as AI-assisted interpretation and the debate surrounding venous versus arterial sampling. The findings suggest a promising future for integrating technology in clinical practice to enhance patient care.
๐ Key Details
- ๐ Focus: Blood gas analysis in clinical settings
- ๐งฉ Key Parameters: pH, partial pressure of oxygen (pO2), partial pressure of carbon dioxide (pCO2), and bicarbonate (HCO3)
- โ๏ธ Innovations: AI applications, non-invasive monitoring, and closed-loop management systems
- ๐ Sensitivity: 97.6% for respiratory failure diagnosis using venous-to-arterial conversion technology
- ๐ Evidence Base: Analysis of over 50 recent publications and current guidelines
๐ Key Takeaways
- ๐ฉธ Blood gas analysis is essential for rapid assessment of patient status.
- ๐ค AI technologies are emerging as valuable tools for interpreting blood gas results.
- ๐ Venous sampling may provide adequate diagnostic information, reducing patient discomfort.
- ๐ Future directions include predictive algorithms for early detection of clinical deterioration.
- ๐ Integration of blood gas analysis with closed-loop therapeutic systems is on the horizon.
- ๐ The review bridges traditional practices with cutting-edge technology for improved patient outcomes.

๐ Background
Blood gas analysis has long been a cornerstone of clinical diagnostics, enabling healthcare professionals to evaluate a patient’s respiratory and metabolic status swiftly. By measuring key parameters such as pH, pO2, pCO2, and HCO3, clinicians can make informed decisions regarding patient management. Recent advancements in technology, particularly in artificial intelligence, are poised to enhance the accuracy and efficiency of these assessments.
๐๏ธ Study
The review conducted by Sanagustรญn and Osredkar synthesizes evidence from recent systematic reviews and meta-analyses, focusing on the clinical applications and interpretation of blood gas analysis. It critically examines the ongoing debate regarding the use of venous versus arterial blood samples and explores the potential of automated interpretation systems in clinical settings.
๐ Results
The review highlights that the sensitivity of venous blood gas analysis with conversion technology stands at an impressive 97.6%, although its specificity is lower at 36.9% for diagnosing respiratory failure. These metrics underscore the potential utility of venous sampling while also pointing to areas needing further investigation and refinement.
๐ Impact and Implications
The implications of this review are significant for clinical practice. By integrating AI-assisted interpretation and exploring non-invasive monitoring technologies, healthcare providers can enhance diagnostic accuracy and patient comfort. The potential for closed-loop management systems to streamline patient care further emphasizes the need for ongoing research and adaptation of these technologies in everyday practice.
๐ฎ Conclusion
This review underscores the transformative potential of combining traditional blood gas analysis with innovative technologies. As we look to the future, the integration of predictive algorithms and personalized diagnostic approaches will likely lead to improved patient outcomes and more efficient healthcare delivery. The journey towards optimizing blood gas analysis is just beginning, and the possibilities are exciting!
๐ฌ Your comments
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Blood gas analysis: Clinical applications, interpretation and future directions (Review).
Abstract
Blood gas analysis represents a cornerstone diagnostic method in clinical practice, providing rapid assessment of respiratory and metabolic status through evaluation of pH, partial pressure of oxygen, partial pressure of carbon dioxide and bicarbonate. The present comprehensive review discusses recent advances in blood gas analysis, including emerging artificial intelligence (AI) applications, controversial practices in venous vs. arterial sampling and closed-loop management systems in critical care. The present review critically synthesizes evidence from recent systematic reviews and meta-analyses, addressing key controversies, such as the clinical utility of venous blood gas analysis with venous-to-arterial conversion technology (sensitivity, 97.6%; specificity, 36.9% for respiratory failure diagnosis) and automated interpretation systems. The present review encompasses physiological foundations, evidence-based clinical applications, structured interpretation methodologies and quality improvement strategies. Emphasis is placed on technological innovations including AI-assisted interpretation, non-invasive monitoring technologies and integration with closed-loop therapeutic systems. Through the analysis of >50 recent publications and current guidelines, the present review aimed to provide evidence-based recommendations for modern clinical practice, highlighting when venous sampling provides adequate diagnostic information, while reducing patient discomfort. Future perspectives include predictive algorithms for early clinical deterioration recognition and personalized diagnostic approaches. The present review aimed to provide unique clinical value by bridging traditional blood gas analysis with cutting-edge technological applications, providing practitioners with contemporary, evidence-based guidance for optimal patient care.
Author: [‘Sanagustรญn MN’, ‘Osredkar J’]
Journal: Med Int (Lond)
Citation: Sanagustรญn MN and Osredkar J. Blood gas analysis: Clinical applications, interpretation and future directions (Review). Blood gas analysis: Clinical applications, interpretation and future directions (Review). 2026; 6:7. doi: 10.3892/mi.2025.291