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(Chest. 1998;114:748-751.)
© 1998 American College of Chest Physicians

The Safety of Brachial Artery Puncture for Arterial Blood Sampling

Gyman C. Okeson MD, FCCP1 and Pauline H. Wulbrecht RPFT1

1 From the Scott & White Clinic and Memorial Hospital, Scott, Sherwood and Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, TX.

Gyman C. Okeson, MD, FCCP, Scott & White Hospital, 2401 S 31st St, Temple, TX 76508

Objective: This study was designed to determine the incidence of complications in a sample of 6,185 brachial artery punctures for arterial blood gas analysis.

Methods: The study sample was comprised of adult patients who had arterial blood gas analysis ordered in the course of their clinical evaluations in a multispecialty clinic and hospital affiliated with a university school of medicine. Subjects were entered prospectively at the time the procedure was done.

Results: The overall incidence of all complications was 2.0%. Immediate limb pain or parenthesias occurred in 1.1%, while the onset of symptoms was delayed up to 24 h in 0.9%. Hematoma formation occurred in only 0.06%. None of the complications was considered to be of major impact, in that none was associated with limb ischemia or other objective abnormalities. Only one subject required analgesic medication to control pain that ultimately subsided spontaneously without deficit.

Conclusion: We believe that brachial artery puncture, when properly performed, is a safe and reliable alternative route for obtaining arterial blood for gas analysis.

Key Words: arterial puncture • blood gas analysis • complications

Submitted on December 15, 1997
Accepted on March 17, 1998




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