Comparisons of laboratory results between two blood samplings: Venipuncture versus peripheral venous catheter—A systematic review with meta‐analysis

Jeong, Younhee; Park, Hanjong; Jung, Mi Jung; Kim, Min Sun; Byun, Seung Jae; Choi, Yoon‐Hee

doi:10.1111/jocn.14918

Cited by 5 publications

(4 citation statements)

References 35 publications

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“…As a result of differences in how studies were conducted, mixed findings on the efficacy of sampling blood from PIVCs have not produced strong evidencebased practice recommendations. Systematic reviews by Coventry et al (2019) and Jeong et al (2019) found equivalence in the accuracy of blood results, but outlined limitations with the studies and recommended further research into the practice of obtaining blood samples from PIVCs. Awareness of policy guidelines across Australia on the practice, and the prevalence of obtaining blood samples from PIVCs, has not been examined in a national survey.…”

Section: Literature Reviewmentioning

confidence: 99%

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

et al. 2020

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Background: Sampling blood from a peripheral intravenous cannula offers an alternative to venepuncture. This practice can reduce frequency of venepuncture and patient discomfort. Opponents argue the practice increases the chance of haemolysis, risk of infection and device failure. Aim: To describe the prevalence and practice of blood sampling from peripheral intravenous cannulas by Australian nurses. Methods: This study used a descriptive cross-sectional design and data were collected using an electronic survey. The survey examined Australian nurses' practice of sampling blood from peripheral intravenous cannulas. Quantitative descriptive data was analysed and presented as frequencies, percentages, medians and ranges. Findings: A total of 542 nurses participated in the survey. Of these, 338 (62.4%) completed the survey. The majority of responses came from the State of Victoria (n = 137, 40.5%) and one-third were emergency nurses (n = 112, 33.1%). Sampling of blood from peripheral intravenous cannulas occurred between 37.5% and 66.7% throughout the State and Territories of Australia. Peripheral intravenous cannula blood sampling was most common in the emergency department (n = 93, 53.4%). The most frequent reasons given were difficulty of access (n = 223, 66.0%) followed by patient comfort (n = 194, 57.4%). Discussion: Blood sampling is required to diagnose and monitor treatment responses. A peripheral intravenous cannula offers the opportunity to sample blood without the need for venepuncture. Practice recommendations on when to sample blood and correct sampling technique are based on limited or conflicting evidence. Conclusion: Findings from this study indicate it is common practice to draw blood samples from a peripheral intravenous cannula. Further research is required to examine the accuracy and safety of this practice to further inform policy.

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Section: Literature Reviewmentioning

confidence: 99%

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

et al. 2020

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“…Some health services have guidelines against the practice of blood sampling from PIVC, and others do not have guidelines (Jacob et al, 2020). Systematic literature reviews have been undertaken to find existing evidence in relation to the safety and accuracy of drawing blood from PIVC (Coventry et al, 2019;Jeong et al, 2019;Lesser et al, 2020). The reviews found the practice of taking blood from PIVCs was safe (Jeong et al, 2019;Lesser et al, 2020) or recommended further research into the practice (Coventry et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The impact of blood sampling technique, including the use of peripheral intravenous cannula, on haemolysis rates: A cohort study

Jacob

Davies

et al. 2021

Journal of Clinical Nursing

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To explore the relationship between blood sampling techniques and haemolysis. Background: Haemolysis rates of blood samples have been thought to be influenced by the method of collection. There is a lack of research evidence available to clearly show the comparative risk of haemolysis across different blood sampling methods, including venepuncture and use of peripheral intravenous cannulas. Design:A prospective cohort study. Reporting followed the STROBE checklist. Methods:A trained observer was used to record blood sampling techniques over a 10-week period between April and June 2019. These records were then linked to pathology haemolysis results. Multivariable logistic regression was used to model patient and blood draw characteristics affecting haemolysis.Results: Most of the blood samples were not haemolysed (n = 324, 87.1%). Multivariable analysis showed haemolysis was associated with increased tourniquet duration and if the level of tube was less than half full. Univariable analysis showed haemolysis was associated with increased age of the patient, the difficulty of cannulation/ venepuncture and increased number of attempts. No difference was found in the haemolysis rate related to the qualification of the blood collector. Conclusion:There was no significant difference in haemolysis rates associated with sampling blood from a PIVC compared with venepuncture. Research should be undertaken to determine whether education on the factors influencing haemolysis is useful in decreasing haemolysis rates. Relevance to clinical practice.There was no association with increased haemolysis rates when drawing blood via venepuncture compared with a peripheral intravenous cannula. Haemolysis of blood samples was associated with increased tourniquet duration, if level of the tube was less than half-filled, increased age of the patient and difficulty of blood draw. | 1917 JACOB et Al. | INTRODUC TI ONThe ability to accurately and reliably test patient blood samples is integral to quality provision of care (Lippi et al., 2019). Inaccurate or corrupted samples can lead to misdiagnosis, but more usually the need to resample at considerable discomfort to patients, time and cost to healthcare and organisations (Abbas et al., 2017;Phelan et al., 2018).Health professionals understand the importance of obtaining accurate blood samples; however, there is variability in the techniques or methods that they use to achieve this (Bentley et al., 2016). Some of the variation in practice and policies regarding blood sampling is in part due to limited research on the safety of the practice for blood sampling, such as from using a peripherally inserted intravenous cannula (Coventry et al., 2019). Policies from Australian Government Health Departments show a paucity of high-level evidence supporting the development of their guidelines for withdrawing blood from a peripheral intravenous cannula (PIVC) (Jacob et al., 2020).One common reason that blood samples may become unusable is due to haemolysis. Haemolysis is a leading cause of specimen re...

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“…Yet the evidence around the use of PIVC for blood sampling is unclear. A systematic review by Jeong et al (2019) found that sampling from PIVC or venepuncture is likely to provide equivalent levels of accuracy for the most commonly used tests. This is in line with a systematic review by Coventry and colleagues (2019) (Davies et al, 2019).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…A systematic review by Jeong et al. (2019) found that sampling from PIVC or venepuncture is likely to provide equivalent levels of accuracy for the most commonly used tests. This is in line with a systematic review by Coventry and colleagues (2019) that found limited evidence to suggest that use of PIVC for blood sampling contributed to decreased accuracy, but that PIVC use may lead to increased haemolysis rates.…”

Section: Introductionmentioning

confidence: 99%

Are current clinical guidelines on the use of Peripheral Intravenous Cannula for blood draws supported by evidence? An organizational case study

et al. 2020

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Comparisons of laboratory results between two blood samplings: Venipuncture versus peripheral venous catheter—A systematic review with meta‐analysis

Cited by 5 publications

References 35 publications

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

The impact of blood sampling technique, including the use of peripheral intravenous cannula, on haemolysis rates: A cohort study

Are current clinical guidelines on the use of Peripheral Intravenous Cannula for blood draws supported by evidence? An organizational case study

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