Comparing Blood Values Sampled From Venipuncture and Continuous Infusion Catheter

M. Aliasgharpour, Rashid Jafari, S. Jalalinia, S. Madani, F. Tabari, An Lili
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引用次数: 1

Abstract

Background: Most patients hospitalized at intensive care units have a continuous infusion catheter in place for receiving drugs and solutions; nonetheless, blood sampling in these units is still performed through an invasive and painful venipuncture. However, it is possible to take blood from a peripheral venous catheter to obtain accurate laboratory test results and alleviate the suering of patients. Objectives: The aim of this study was to compare hematology, chemistry, and blood gas values sampled from venipuncture and continuous infusion intravenous catheter. Methods: In this cross-sectional comparative study, a convenient sample of 61 adult patients was drawn according to the inclusion and exclusion criteria, from the intensive care unit. Two blood samples, one from a continuous infusion catheter, which was already in place and one from venipuncture at the other extremity, were obtained from each patient. The two sets of samples were compared in terms of hematology, biochemistry and blood gas values by using the paired-samples t-test. Results: The two sets of samples diered significantly in terms of blood sugar values. Other dierences between the two sets were not statistically significant. Conclusions: Except for blood sugar, blood sampling from a continuous 24-hour infusion catheter produces reliable hematol- ogy, biochemistry and blood gas results as that of venipuncture blood sampling method. Moreover, compared with the routine venipuncture method, sampling from a continuous infusion catheter is simpler, easier and safer.
静脉穿刺与持续输液管血样值的比较
背景:大多数在重症监护病房住院的患者都有一个持续输液管,用于接受药物和溶液;尽管如此,这些单位的血液采样仍然是通过侵入性和痛苦的静脉穿刺进行的。然而,可以从外周静脉导管采血,以获得准确的实验室检查结果,减轻患者的痛苦。目的:本研究的目的是比较静脉穿刺和静脉导管持续输注的血液学、化学和血气值。方法:在横断面比较研究中,根据纳入和排除标准,从重症监护病房抽取61例成人患者作为方便样本。从每位患者身上获得两份血液样本,一份来自已经插入的持续输液管,另一份来自另一端的静脉穿刺。采用配对样本t检验比较两组样本的血液学、生化和血气值。结果:两组样品血糖值差异显著。两组间的其他差异无统计学意义。结论:24小时连续置管采血除血糖外,其血液学、生化和血气结果与静脉穿刺采血法一样可靠。此外,与常规静脉穿刺方法相比,连续输液管取样更简单、更容易、更安全。
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