Evaluation of Processes, Outcomes, and Use of Midline Peripheral Catheters for the Purpose of Blood Collection

2020 ◽  
Vol 25 (4) ◽  
pp. 8-17
Author(s):  
Daleen Penoyer ◽  
Melody Bennett ◽  
Patricia I. Geddie ◽  
Alyssa Nugent ◽  
Tara Volkerson
Keyword(s):  
Dwell Time ◽  
Blood Sampling ◽  
Blood Collection ◽  
Blood Withdrawal

Highlights Results added knowledge on use of midline catheters (MCs) for blood sampling. Using MCs for blood withdrawal resulted in low rates of hemolysis (0.69%). Dwell time was longer in those who had blood drawn from their MC. Nurse practices for blood sampling from MCs varied and learned from other nurses.

Evaluation of processes, outcomes, and use of midline peripheral catheters for the purpose of blood collection

2021 ◽  
Vol 30 (2) ◽  
pp. S24-S32
Author(s):  
Daleen Penoyer ◽  
Melody Bennett ◽  
Patricia I. Geddie ◽  
Alyssa Nugent ◽  
Tara Volkerson
Keyword(s):  
Focus Group ◽  
Best Practices ◽  
Clinical Guidelines ◽  
Dwell Time ◽  
Mixed Methods Study ◽  
Blood Sampling ◽  
Blood Collection ◽  
Blood Samples ◽  
Blood Withdrawal ◽  
Blood Specimens

HIGHLIGHTS Results added knowledge on use of midline catheters (MCs) for blood sampling. Using MCs for blood withdrawal resulted in low rates of hemolysis (0.69%). Dwell time was longer in those who had blood drawn from their MC. Nurse practices for blood sampling from MCs varied and learned from other nurses. Background: Blood withdrawal from midline catheters (MCs) is done clinically, but no studies were found evaluating outcomes from this procedure, nor were clinical guidelines found. Drawing blood samples from short peripheral catheters is associated with higher hemolysis rates. Methods: A prospective, observational, mixed methods study was used to evaluate outcomes from using MCs for blood withdrawal. Focus group sessions were held to evaluate nurses' practices for this procedure. Results: Data were collected over 3 months on 397 MCs in 378 patients. Hemolysis rates when the MC was used for blood withdrawal was 0.69% in 1021 tests. More than half had blood specimens drawn through the MC, and the time known for the successful withdrawal was on average 64 ± 85 hours. Mean dwell time for all MCs was 108.5 ± 98 hours, and when MCs were used for blood withdrawal, mean dwell time was 127.19 ± 109.13 hours and for MCs not used for blood withdrawal, 88.34 ± 79.86 hours (P < 0.001). In 338 patients who received therapy through their MC (n = 338), 87% completed intended therapy: 88% with blood withdrawal and 81% without blood withdrawal. Qualitative analysis from focus groups demonstrated wide variation in practice for blood sampling from MCs, and most learned techniques from their preceptors, other nurses, or patients. Conclusions: Findings indicated that blood withdrawal from one specific type of MC had low rates of hemolysis, increased dwell time, and completion of therapy. More studies are needed to determine best practices for blood sampling through various types of MCs and outcomes.

Saphenous vein puncture for blood sampling of the mouse, rat, hamster, gerbil, guineapig, ferret and mink

1998 ◽  
Vol 32 (4) ◽  
pp. 364-368 ◽  
Author(s):  
Annelise Hem ◽  
Adrian J. Smith ◽  
Per Solberg
Keyword(s):  
Saphenous Vein ◽  
Blood Sampling ◽  
Blood Collection ◽  
Rapid Sampling

A method is described for blood collection from the lateral saphenous vein. This enables rapid sampling, which if necessary can be repeated from the same site without a need for new puncture wounds. The method is a humane and practical alternative to cardiac and retro-orbital puncture, in species where venepuncture has traditionally been regarded as problematic.

scholarly journals Does the Site of Blood Collection in Fish Affect Haematological and Blood Biochemical Results?

2021 ◽  
Vol 69 (2) ◽  
pp. 51-56
Author(s):  
Bartosz Bojarski ◽  
Magdalena Socha ◽  
Ewa Drąg-Kozak ◽  
Agnieszkaa Rombel-Bryzek ◽  
Sylwia Kapinos ◽  
...  
Keyword(s):  
Blood Cell ◽  
Blood Sampling ◽  
Blood Collection ◽  
Body Site ◽  
Differential Leukocyte Count ◽  
Erythrocyte Morphology ◽  
Blood Samples ◽  
Blood Biochemical ◽  
Group I ◽  
Caudal Vein

The values of haematological and selected blood plasma biochemical parameters of juvenile common carp (Cyprinus carpio Linnaeus, 1758) were compared between blood samples taken from caudal vein and heart to evaluate the influence of blood sampling body site on the obtained results in two groups of fish of different blood sampling order: I – first by caudal and then by cardiac puncture, II – first by cardiac and then by caudal puncture. The obtained results revealed statistically significant (p<0.05) differences only in group I where red blood cell (RBC) count was higher in caudal vein blood, while haematocrit (Ht) value, mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), total protein (TP) concentration, and magnesium (Mg) level were higher in cardiac blood samples. No statistically significant differences occurred in white blood cell (WBC) count, differential leukocyte count or erythrocyte morphology based on stained blood smears. The obtained results showed that blood sampling body site may affect the results of haematological and plasma biochemical analyses.

scholarly journals Effect of peripheral IV based blood collection on catheter dwell time, blood collection, and patient response

2018 ◽  
Vol 40 ◽  
pp. 76-79 ◽  
Author(s):  
Deborah F. Mulloy ◽  
Susan M. Lee ◽  
Matthew Gregas ◽  
Kate E. Hoffman ◽  
Stanley W. Ashley
Keyword(s):  
Dwell Time ◽  
Blood Collection ◽  
Patient Response

scholarly journals Effect of oral glucose administration on pain in neonates undergoing peripheral blood collection

2007 ◽  
Vol 47 (4) ◽  
pp. 185
Author(s):  
Effa Triani ◽  
Munar Lubis ◽  
Chairoel Yoel
Keyword(s):  
Placebo Group ◽  
Peripheral Blood ◽  
Intervention Group ◽  
Mean Difference ◽  
Blood Sampling ◽  
Blood Collection ◽  
Oral Glucose ◽  
Time Data ◽  
Double Blind ◽  
Glucose Administration

Background Peripheral blood sampling with heel sticks in neonatescould represent minor invasive procedure which generates pain.The oral glucose administration can reduce the pain in neonatesduring this procedure.Objective To compare the pain sense after oral glucoseadministration or placebo during peripheral blood sampling withheel sticks in neonates.Methods A double blind randomized clinical trial study wasconducted from January to March 2004 in three teaching hospitalsin Medan. The population of this study was divided into twogroups (glucose and placebo) and each group consisted of 32neonates. The intervention group got 1 ml of 40% glucose andthe placebo group got 1 ml of sterile water. Blood sample wastaken with sterile hemolet with heel sticks from healthy atermneonates. The pain was measured using NIPS score and measuredin first 30 seconds after heel sticking. The heart and respiratoryrate measurement was done before and during the interventionand we also counted crying time. Data were analyzed with studentt–test.Results The significant mean difference of NIPS score in glucosegroup was 2.22 (SD 0.83) vs 4.72 (SD 0.96) in placebo group(P<0.0001). There was significant mean difference of crying time,i.e. 0.16 (SD 0.37) in glucose group vs 2.05 (SD 0.77) in placebogroup (P<0.0001). There was significant differences of heart ratebefore and during heel sticking in both groups.Conclusion There were some differences of pain sense in neonateswho received 40% glucose compared to those who received sterilewater during peripheral blood sampling.

scholarly journals Unexpected abnormal coagulation test results in a 2-year-old child

2020 ◽  
Vol 30 (1) ◽  
pp. 158-163
Author(s):  
Patricija Banković Radovanović ◽  
Tanja Živković Mikulčić ◽  
Jasmina Simović Medica
Keyword(s):  
Reference Intervals ◽  
Blood Collection ◽  
Coagulation Disorder ◽  
Thrombin Time ◽  
Test Results ◽  
Coagulation Test ◽  
Laboratory Staff ◽  
Blood Withdrawal ◽  
Tympanostomy Tubes ◽  
K Deficiency

Rejection of the sample with repeated blood withdrawal is always an unwanted consequence of sample nonconformity and preanalytical errors, especially in the most vulnerable population – children. Here is presented a case with unexpected abnormal coagulation test results in a 2-yearold child with no previously documented coagulation disorder. Child is planned for tympanostomy tubes removal under the anaesthesia driven procedure, and preoperative coagulation tests revealed prolonged prothrombin time, activated partial thromboplastin time and thrombin time, with fibrinogen and antithrombin within reference intervals. From the anamnestic and clinical data, congenital coagulation disorder was excluded, and with further investigation, sample mismatch, clot presence and accidental ingestion of oral anticoagulant, heparin contamination or vitamin K deficiency were excluded too. Due to suspected EDTA carryover during blood sampling another sample was taken the same day and all tests were performed again. The results for all tests were within reference intervals confirming EDTA effect on falsely prolongation of the coagulation times in the first sample. This case can serve as alert to avoid unnecessary loss in terms of blood withdrawal repetitions and discomfort of the patients and their relatives, tests repeating, prolonging medical procedures, and probably delaying diagnosis or proper medical treatment. It is the responsibility of the laboratory specialists to continuously educate laboratory staff and other phlebotomists on the correct blood collection as well as on its importance for the patient’s safety.

scholarly journals An Appraisal of the “Vacutainer” System for Blood Collection

1975 ◽  
Vol 12 (1-6) ◽  
pp. 151-155 ◽  
Author(s):  
A. C. Ames ◽  
E. Bamford
Keyword(s):  
Blood Sampling ◽  
Blood Collection ◽  
Blood Contamination ◽  
Blood Samples ◽  
Advantages And Disadvantages ◽  
Syringe Needle ◽  
Evacuated Tubes ◽  
Blood Specimens

The conventional syringe/needle/container system for the collection and handling of blood samples is compared with the Vacutainer system using evacuated tubes. The relative advantages and disadvantages of both systems are evaluated. The Vacutainer system is quicker and simpler to use, with greater versatility, producing blood specimens of higher quality and at a cost comparable with that by the syringe system. The problems of blood contamination during blood sampling and distribution with both systems are discussed.

scholarly journals A non-surgical jugular catheterization technique for multiple blood sampling in cats

2003 ◽  
Vol 37 (3) ◽  
pp. 188-192 ◽  
Author(s):  
G. A. Albarellos ◽  
R. R. Bonafine ◽  
V. E. Kreil ◽  
L. A. Ambros ◽  
L. Montoya ◽  
...  
Keyword(s):  
Jugular Vein ◽  
Clinical Signs ◽  
Blood Sampling ◽  
Pharmacokinetic Studies ◽  
Blood Withdrawal ◽  
Needle Type ◽  
Catheterization Technique ◽  
Minimal Damage ◽  
Multiple Blood ◽  
Indwelling Time

In order to perform pharmacokinetic studies involving multiple blood sampling, repeated at variable intervals of time, a simple and reliable non-surgical jugular catheterization technique was developed. Six cats were catheterized 48 times using an indwelling through-the-needle type catheter (22G and 20.3 cm) placed into the jugular vein through an over-the-needle type (20G and 32 mm). Catheters remained in place for 1–13 days (median 3 days) without loss of patency until removal. Each jugular was catheterized a range of 2–6 times, with a total indwelling time of 4–33 days. No clinical signs of phlebitis, thrombosis or sepsis were observed either during or after the studies. This technique allows an easy, non-painful, non-stressful blood withdrawal during extended sampling periods, with minimal damage of the veins.

Comparison of a new device for blood sampling in cats with a vacuum tube collection system—Plasma biochemistry, haematology and practical usage assessment

2007 ◽  
Vol 9 (5) ◽  
pp. 382-386 ◽  
Author(s):  
Brice S Reynolds ◽  
Karine G Boudet ◽  
Mathieu R Faucher ◽  
Claude Germain ◽  
Anne Geffre ◽  
...  
Keyword(s):  
Venous Blood ◽  
Small Diameter ◽  
Plasma Chemistry ◽  
Blood Sampling ◽  
Blood Collection ◽  
Sampling Techniques ◽  
Minimal Risk ◽  
New Device ◽  
Closed Systems ◽  
Serious Injury

Using paediatric devices to collect venous blood from a cephalic vein in cats offers numerous practical advantages over traditional jugular venepuncture and vacuum closed systems: minimal restraint is required; there is minimal risk of serious injury to the cat; the discomfort associated with venepuncture is reduced by the use of small diameter (25 gauge) needles; very small volumes (200 μl) of blood are extracted; and the risk of vein collapse or haematoma is low. The aim of this study was to compare the haematological and plasma chemistry results obtained from six healthy cats using the two sampling techniques. Five plasma biochemical analytes were measured and a complete haematological examination was performed on each specimen. No clinically relevant difference between the two blood sampling techniques was observed for any variable, indicating that paediatric devices provide a useful alternative to vacuum tubes for venous blood collection in the cat.

Blood sampling from the retro-orbital plexus, the saphenous vein and the tail vein in rats: comparative effects on selected behavioural and blood variables

2001 ◽  
Vol 35 (2) ◽  
pp. 131-139 ◽  
Author(s):  
H. van Herck ◽  
V. Baumans ◽  
C. J. W. M. Brandt ◽  
H. A. G. Boere ◽  
A. P. M. Hesp ◽  
...  
Keyword(s):  
Diethyl Ether ◽  
Saphenous Vein ◽  
Blood Sampling ◽  
Halothane Anaesthesia ◽  
Blood Collection ◽  
Sampling Techniques ◽  
Tail Vein ◽  
Ether Anaesthesia ◽  
Urine Production ◽  
Diethyl Ether Anaesthesia

We compared the behaviours of rats, and measured various blood parameters, after three blood sampling techniques: orbital puncture while they were under diethyl-ether anaesthesia, blood collection by tail vein puncture under O2-N 2O-halothane anaesthesia and puncture of the saphenous vein without anaesthesia. Twelve rats were subjected to the three treatments according to a Latin square design. After each treatment, the behaviour of the rats was automatically monitored using the so-called LABORASTM method, which discriminates between grooming, locomotion and inactivity in rats. Based on excitation scores and urine production, it was found that induction of diethyl-ether anaesthesia combined with orbital puncture caused more distress than did the other two blood sampling techniques. The three techniques had no differential effects on the behaviours of grooming, locomotion and inactivity. Collecting 0.5 ml of blood by orbital puncture was ± 7 times faster than doing so by saphenous vein puncture and ± 15 times faster than collecting blood by tail vein puncture while the rats were under O2-N 2O-halothane anaesthesia. The levels of some haematological and plasma variables differed significantly between the three blood collection techniques. These observations may help to select the most appropriate technique of blood sampling with respect to anticipated discomfort in the animals.

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