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April 2010

Arterial blood gases made easy

Summarized from Hennessey I, Jap A. Arterial blood gases made easy. Churchill Livingstone: Edinburgh, 2007. ISBN-13:978-0-443-10414-5

Arterial blood gas analysis is often perceived as one of the most difficult topics to be covered in the laboratory medicine curriculum, so many will welcome the promise contained in the title of this book, albeit with a degree of skepticism. They will not be disappointed. This excellent pocket-sized handbook, which can be read at one sitting, is an object lesson in clarity. 

This really is arterial blood gases made easy. The book is divided into two equal sections. The first covers basic physiology and concepts required for interpretation of blood gas results under four headings: gas exchange in the lungs, disturbance of gas exchange, normal acid-base balance, and the four classes of acid-base disturbance. 

This first section also covers arterial blood collection technique and includes two flow charts for interpretation of blood gas results. The success of this first section as an educative tool depends on attention to only that which is essential, economy of writing, and liberal use of artwork. This is a thoughtfully designed book, which is very pleasing to the eye and, in the best possible way, easy on the brain! 

The second half of the book comprises 25 case scenarios that enable readers to test their understanding of the first section. These case scenarios are purpose-written so that each exemplifies a different way in which blood gas results can be deranged in a genuine real-life clinical setting. Presentation and discussion of each is brief but like all other parts of the book, focused and highly informative. 

Aimed primarily at medical students, junior doctors and specialist nurses, this book assumes almost no knowledge of the topic on behalf of the reader and covers a lot of ground in a short and highly accessible read that should instill real confidence for accurate interpretation of blood gas results in most, if not all clinical circumstance. Excellent value.

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Chris Higgins

has a master's degree in medical biochemistry and he has twenty years experience of work in clinical laboratories.

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