lab results

National Academy of Medicine OKs using rectal gases instead of venous gases in hard stick patients

  • 1.8K

Minneapolis, Minnesota – In what appears to be a practice changing announcement, the National Academy of Medicine (NAM) released an update to its exceptional Factors Affecting Routine Treatment (eFART) factsheet.

In the section on hard to stick patients, NAM’s latest eFART summarizes several studies and states that a timely treatment surpasses the need for accurate measurements of gas constituents. A study from University of Alabama shows that rectal gases include high concentration of nitrogen and methane but a reliable content of carbon dioxide and oxygen.

It found that with a careful setup of reference value, both oxygen and CO2 can be reliably recorded either as a spot measurement or be trended over time. Another study from university of Georgia demonstrated the high accuracy of EtCO2 sensor if and when connected to a rectal tube, referencing the Atlanta’s ICU incidence from August 2015.

In hard stick patients, rectal gases may spare repetitive vascular access attempts, and allow reduced patient discomfort and staff allocation. They are spontaneously discharged and can be readily collected by watchful waiting or by increasing the content of beans in the patients’ meals.

An RCT study from Tulane University showed non inferiority in all mortality causes in two ICU units in New Orleans when using rectal gases compared with venous blood gases. “Unfortunately this RTC could not be double blinded, but the results are encouraging” states the eFART.

“This news really breaks wind,” says Dr. Juan LaPedo, an intensivist from ENMMC. “It’s a fresh current of air to our edematous patients.” Opposite of this view, Dr. Emil Colón from the department of proctology in the University of Chicago (previously its rector) believes that, “This entire deal is just pure hot air.”

  • Show Comments

Your email address will not be published. Required fields are marked *

comment *

  • name *

  • email *

  • website *

You May Also Like

Patient’s Modified Lifestyle Kills Doctor

533SharesCHICAGO, IL – Belinda Torres, a Chicago area busy professional, sent shockwaves throughout the medical ...


Bored Radiologist Clinically Correlates Everything Himself

21.5KSharesReports from the radiology reading room at Mercy Hospital indicate that 47 year old ...

medical student

Female Medical Student Looking Forward to Graduating and Being Called Miss

4.2KSharesALBANY, NY – Annabell Mittelschmerz is relishing the thought of graduating medical school in ...


Radiologists Jubilate: ‘Stable Exam’ Added to Radiodiagnostic Codes

242SharesIn what many radiologists are dubbing ‘the greatest advance in radiology since the CT ...

Hospital with Low Survivability Submits Plans for New Employee Draft

43SharesDELAWARE – Recent published reports state morbidity and mortality rates are absolutely atrocious for ...