Regional quality assessment of pH and blood gas analysers

Abstract

The performance of 41 pH and blood gas analysers in 20 hospitals was assessed using commercially available blood gas ampoules provided by seven manufacturers. The stability of the material and the effect of ambient temperature on Po2 was assessed. The overall mean values were outside the manufacturers' assigned values on eight out of 64 values. Using IL413 analysers as a basis for comparison, significant differences were found for Pco2 on ABL1, Corning 168 and 178 analysers and for Po2 on ABL1 and 2 and Corning 178. No significant differences were found for pH. Poor performers were identified in terms of imprecision. Analysers within or associated with clinical biochemistry departments gave better performance than those outside the laboratory. The five analysers that provided insufficient data for inclusion in the study were all situated outside the laboratory. Analysers from different manufacturers performed equally well provided they were used regularly and in accordance with manufacturers' instructions.