A comparison of venous blood gas analysis with paired specimens collected in syringes and evacuated blood collection tubes

BACKGROUND

Venous blood samples collected in evacuated blood collection tubes are generally not considered suitable for measurement of oxygenation status. However, whether pH, pCO₂ and HCO₃^- results from venous blood samples collected in evacuated tubes are reliable remains unclear.

METHODS

Paired samples were collected from 38 healthy volunteers using two collection methods: (1) collection of blood directly into a blood gas syringe and (2) collection of blood into an evacuated tube with subsequent anaerobic transfer into a blood gas syringe. Samples were analyzed for pH, pCO₂, HCO₃^-, and pO₂.

RESULTS

Samples collected in evacuated tubes showed significant positive mean biases of 0.03 and 7.5 mmHg for pH and pO₂, respectively, and significant negative mean biases of 5.0 mmHg and 1.2 mmol/l for pCO₂ and HCO₃^-, respectively. Collection in evacuated tubes resulted in biases exceeding the total allowable errors in 16%, 40%, 21% of samples for pH, pCO₂, HCO₃^-, respectively, when compared to samples collected in syringes directly.

CONCLUSIONS

Samples for venous blood gas analysis should be collected directly into blood gas syringes for accurate assessment of ventilation and/or acid-base status. Biases observed for samples collected in evacuated tubes are consistent with air contamination and/or vacuum effects.

Sensitivity to ocean acidification differs between populations of the Sydney rock oyster: Role of filtration and ion-regulatory capacities

Understanding mechanisms of intraspecific variation in resilience to environmental drivers is key to predict species' adaptive potential. Recent studies show a higher CO₂ resilience of Sydney rock oysters selectively bred for increased growth and disease resistance ('selected oysters') compared to the wild population. We tested whether the higher resilience of selected oysters correlates with an increased ability to compensate for CO₂-induced acid-base disturbances. After 7 weeks of exposure to elevated seawater PCO₂ (1100 μatm), wild oysters had a lower extracellular pH (pH_e = 7.54 ± 0.02 (control) vs. 7.40 ± 0.03 (elevated PCO₂)) and increased hemolymph PCO₂ whereas extracellular acid-base status of selected oysters remained unaffected. However, differing pH_e values between oyster types were not linked to altered metabolic costs of major ion regulators (Na⁺/K⁺-ATPase, H⁺-ATPase and Na⁺/H⁺-exchanger) in gill and mantle tissues. Our findings suggest that selected oysters possess an increased systemic capacity to eliminate metabolic CO₂, possibly through higher and energetically more efficient filtration rates and associated gas exchange. Thus, effective filtration and CO₂ resilience might be positively correlated traits in oysters.

Antisense oligonucleotides on neurobehavior, respiratory, and cardiovascular function, and hERG channel current studies

INTRODUCTION

Safety Pharmacology studies were conducted in mouse, rat, and non-human primate to determine in vivo effects of antisense oligonucleotides (ASOs) on the central nervous system, respiratory system, and cardiovascular system. Effects on the hERG potassium channel current was evaluated in vitro.

METHODS

ASOs contained terminal 2'-O-methoxyethyl nucleotides, central deoxy nucleotides, and a phosphorothioate backbone. Neurobehavior was evaluated by Functional Observatory Battery in rodents. Respiratory function was directly measured in rodents by plethysmograph; respiratory rate and blood gases were measured in monkey. Basic cardiovascular endpoints were measured in rat; cardiovascular evaluation in monkey involved implanted telemetry units. In single and repeat dose studies ASOs were administered by subcutaneous injection at up to 300 mg/kg, 250 mg/kg, and 40 mg/kg in mouse, rat, or monkey, respectively. Assays were performed in HEK293 or CHO-K1 cells, stably transfected with hERG cDNA, at ASO concentrations of up to 300 μM.

RESULTS

No apparent effects were noted for respiratory or CNS function. Continuous monitoring of the cardiovascular system in monkey demonstrated no ASO-related changes in blood pressures, heart rate, or ECG and associated parameters (i.e., QRS duration). Specific assessment of the hERG potassium channel indicated no potential for actions on ventricular repolarization or modest effects only at excessive concentrations.

DISCUSSION

The absence of direct actions on neurobehavior and respiratory function associated with the administration of ASOs in safety pharmacology core battery studies is consistent with published toxicology studies. The combination of in vitro hERG studies and in vivo studies in rat and monkey are consistent with no direct actions by ASOs on cardiac cell function or electrical conduction at relevant concentrations and dose levels. Taken as a whole, dedicated studies focused on the safety pharmacology of specific organ systems do not appear to add significant data for interpretation of potential adverse effects. The need for dedicated studies for future ASOs in the same class is questionable, as a more encompassing data set can be collected in repeat dose and longer-term toxicology studies.