Evaluation of an improved small gauge needle for venipuncture in children with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception

Padoan, Andrea; Sirini, Sara; Mazzone, Raffaella; Mesiti, Cristina; Grillo, Caterina; Meyer, Brendan; Plebani, Mario

doi:10.1016/j.cca.2019.10.019

Cited by 7 publications

(2 citation statements)

References 19 publications

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“…The use of a narrower needle gage did not seem to affect arterial puncture-related pain, differently from evidence in the area of venipuncture research ( Mouser et al, 2017, Padoan et al, 2020. It may be postulated that fine needles increase procedural difficulty ( Yee et al, 2015 ), since arteries are located deeper in the body than veins, thus requiring more puncture attempts.…”

Section: Discussionmentioning

confidence: 71%

Interventions to reduce arterial puncture-related pain: A systematic review and meta-analysis

Gonella

Clari²,

Conti³

et al. 2022

International Journal of Nursing Studies

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Section: Discussionmentioning

confidence: 71%

Interventions to reduce arterial puncture-related pain: A systematic review and meta-analysis

Gonella

Clari²,

Conti³

et al. 2022

International Journal of Nursing Studies

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“…It should be noted that, recently, needles with a smaller outer diameter, but the same inner bore size, have been developed, and the use of these needles has been shown to reduce pain during venipuncture without increasing haemolysis. 24,25 It may be preferable to use such needles in the future.…”

Section: Discussionmentioning

confidence: 99%

Use of finer needles for venipuncture increases in vitro haemolysis despite reducing persistent pain and nerve injury: A retrospective study

et al. 2023

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Background: Although venipuncture is minimally invasive, and is the most frequently performed medical procedure, it carries the small risk of causing persistent pain, including nerve damage. Recently, our hospital stopped using 22-gauge needles for venipuncture in outpatients, and switched to using only 23- and 25-gauge needles. We investigated the impact of using only the finer needles on the incidence of persistent or neuropathic pain and the prevalence of haemolysis, as well as the impact of haemolysis associated with the needle change on other laboratory data. Methods: We retrospectively collected and analysed data on venipuncture-associated pain complaints made during the 1-year period prior, and 1-year period after the change in needles, as well as the frequency of haemolysis before and after the change. We also focused on 90 cases that showed significant haemolysis after the needle change, and compared the serum aspartate aminotransferase, lactate dehydrogenase, and potassium levels before and after the needle change. Results: The incidence of persistent pain was significantly reduced from 1 in 10,825 venipunctures before the change to 1 in 29,747 venipunctures after the change. Notably, no patients experienced neuropathic pain after the change. However, the prevalence of haemolysis was significantly increased. Additionally, the serum aspartate aminotransferase, lactate dehydrogenase, and potassium levels were significantly elevated in the cases that showed moderate to gross haemolysis after the needle change. Conclusion: Using finer needles involves both advantages and disadvantages, and careful consideration is needed to determine which type of needle is in the best interests of the patient.

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Evaluation of a novel blood collection set for venipuncture in oncology patients with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception

Giussani,

Sirini,

Padoan

et al. 2024

European Journal of Oncology Nursing

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Evaluation of an improved small gauge needle for venipuncture in children with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception

Cited by 7 publications

References 19 publications

Interventions to reduce arterial puncture-related pain: A systematic review and meta-analysis

Interventions to reduce arterial puncture-related pain: A systematic review and meta-analysis

Use of finer needles for venipuncture increases in vitro haemolysis despite reducing persistent pain and nerve injury: A retrospective study

Evaluation of a novel blood collection set for venipuncture in oncology patients with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception

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