Peripheral venous catheter blood sampling: a prospective observational study

Authors

  • Laura Cartello ASL AT
  • Matteo Dacasto Student, Bachelor School of Nursing, University of Turin, Italy
  • Gianluca Ghiselli Chief Medical Officer, Azienda Zero Regione Piemonte, Italy

DOI:

https://doi.org/10.54103/dn/20549

Keywords:

Campione ematico, Ago a farfalla, Dolore, Catetere venoso periferico, Infermiere

Abstract

BACKGROUND: 
The peripheral venous catheter is a device inserted to deliver fluids into the bloodstream. Patients often face repeated examinations to monitor their health status and the progress of therapy, and these include numerous venipunctures to collect blood samples, which cause them pain and discomfort. In order to reduce discomfort, the standard butterfly needle procedure can be substituted for the peripheral venous catheter sampling procedure.

MATERIALS AND METHODS: 
A prospective observational study was conducted in which 207 patients in whom venous sampling was required were included. Descriptive statistics analyzed the collected data.

RESULTS: 
The performance of the procedure tested is of success with some difficulties, such as the performance of the initial discard; in the case of an unsuccessful procedure, the one that is repeated in frequency compared to the others is the aspiration of the initial discard absent. Haemolysis was found to be frequent and is more common in clinical chemistry.

CONCLUSIONS: 
This study revealed new questions inherent in the performance of the peripheral cannula venous sampling technique and data inherent in the hemolysis rate and, thus, the procedure's success. This data opens up new insights in the future for a more in-depth analysis of the determinants leading to this phenomenon. Nevertheless, the procedure seems a good alternative to the standard butterfly needle technique for reducing pain in emergency settings.

References

Lesser, Finnian D et al. Blood sampled from existing peripheral IV cannulae yields results equivalent to venipuncture; a systematic review, Journal of the Royal Society of Medicine; 2020, May open vol. 11,5

Pittiruti, M.; Scoppettuolo, G. Raccomandazioni Gavecelt 2021 per la Indicazione, L’impianto e la Gestione dei Dispositiviper Accesso Venoso. 2021. Available online: https://gavecelt.it/nuovo/sites/default/files/uploads/Raccomandazioni%20GAVeCeLT%202021%20-%20v.2.0.pdf

Fincher RK, Strong JS, Jackson JL. Accuracy of measurements of hemoglobin and potassium in blood samples from peripheral catheters. Am J Crit Care. 1998; 7:439–443.

Corbo J, Silver M, Atallah H, Bijur P. Comparison of laboratory values obtained by phlebotomy versus saline lock devices. Acad Emerg Med. 2007; 14:23–28.

Himberger JR, Himberger LC. Accuracy of drawing blood through infusing intravenous lines. Heart Lung. 2001; 30:66–73.

Liwa CM. A comparative study of hematocrits drawn from a standard venipuncture and those drawn from a saline lock device. Journal of Emergency Nursing. 1997; 23:228–231.

Gallant, Paulette BSN, RNC; Schultz, Alyce A. PhD, RN, FAAN. Evaluation of a Visual Infusion Phlebitis Scale for Determining Appropriate Discontinuation of Peripheral Intravenous Catheters. Journal of Infusion Nursing. 2006; vol. 29

Doran D, Nursing outcomes: gli esiti sensibili alle cure infermieristiche, 2013; McGrow-Hill Education, Milano.

Benso S., Si può eseguire un prelievo a scopo diagnostico da un catetere venoso periferico? Assistenza Infermieristica e Ricerca 2015; vol. 34: 86-92

Toma C, Buzzi E, Mozzato E, Rega D, Volpicelli P, Spera G, Macchia G, Quirico M, Salerno C, Calia A, Corbo N, Gallace M, Momente C, Licata P, Pozzebon M, Valle M, Vada I, Cerminara N, Bergese P, Procedura per la gestione dei dispositivi intravascolari (PO 2048 - ASL AT), versione 3; 2018; pag. 15

Baker R. et al. Determining Optimal Waste Volume from an Intravenous Catheter. Journal of Infusion Nursing 2013. March; 36(2): 92–96.

Wollowitz A, Bijur P, Esses D, Gallagher J. Use of butterfly needles to draw blood is independently associated with marked reduction in hemolysis compared to intravenous catheter. Society for Academic Emergency Medicine. 2013, November, 20(11): 1151-5.

Danielis M. Risk of hemolysis in blood sampling from peripheral intravenous catheter: a literature review. Professioni infermieristiche. 2014. July-September; 67(3): 166-72.

Heyer N, Derzon J, Winges L, Shaw C, Mass D, Snyder S, Epner P, Nichols J, Gayken J, Ernst D, Liebow E., Effectiveness of practices to reduce blood sample hemolysis in EDs: a laboratory medicine best practices systematic review and meta-analysis. Clinical Biochemistry. 2012, September; 45(13-14):1012-32.

Published

2024-01-31

How to Cite

Cartello, L., Dacasto, M., & Ghiselli, G. (2024). Peripheral venous catheter blood sampling: a prospective observational study. Dissertation Nursing, 3(1). https://doi.org/10.54103/dn/20549
Received 2023-07-09
Accepted 2023-09-26
Published 2024-01-31