Drawing blood from a peripheral intravenous cannula and its effect on cannula dwell time, phlebitis, and bloodstream infection: A randomised controlled study

IF 1.6 4区医学 Q2 NURSING

Collegian Pub Date : 2024-05-09 DOI:10.1016/j.colegn.2024.04.001

Hugh Davies , Alycia Jacob , Lea Aboo , Linda Coventry , Elisabeth Jacob

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引用次数: 0

Abstract

Background

Routine blood sampling can be conducted using venepuncture, inserting a new peripheral intravenous cannula (PIVC), or utilising an existing one. The practice of blood sampling from a cannula requires handling and movement of the cannula bung. It is discouraged due to safety concerns linked to increased risk of phlebitis, infection, or reduced dwell time.

Aim

To assess cannula dwell time, the prevalence of phlebitis, and bloodstream infection when using a PIVC compared with venepuncture for blood sampling.

Design

A randomised controlled study. Reporting followed CONSORT recommendations.

Methods

Adult patients admitted to the emergency department whose health condition required a blood sample to be drawn and insertion of a PIVC were screened for eligibility between May and July 2022. Participants were randomised to either have blood sampled by venepuncture as the control or drawn through the PIVC as the intervention. Follow-up occurred on day three post emergency department presentation.

Results

One hundred and five participants were randomised of whom 50 had blood sampled by venepuncture and 55 through the PIVC. No difference was observed in cannula dwell time, prevalence of phlebitis, or signs of bloodstream infection.

Conclusion

This study showed PIVC outcomes were no different when the PIVC was used to sample blood compared with participants whose blood was sampled by venepuncture.

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从外周静脉插管抽血及其对插管停留时间、静脉炎和血流感染的影响：随机对照研究

背景日常血液采样可通过静脉穿刺、插入新的外周静脉插管（PIVC）或利用现有插管来进行。从插管中采血需要操作和移动插管。目的评估插管停留时间、静脉炎发生率以及使用 PIVC 与静脉穿刺采血时的血流感染情况。方法2022年5月至7月期间，对急诊科收治的因健康状况需要抽取血液样本和插入PIVC的成人患者进行资格筛选。参与者被随机分配到通过静脉穿刺抽血作为对照组，或通过 PIVC 抽血作为干预组。结果 155 名参与者被随机抽取了血液样本，其中 50 人通过静脉穿刺抽取，55 人通过 PIVC 抽取。在插管停留时间、静脉炎发生率或血流感染迹象方面均未观察到差异。结论该研究表明，与通过静脉穿刺抽血的参与者相比，使用 PIVC 抽血的结果没有差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.