Comparison of two blood sampling methods in anticoagulation therapy: venipuncture and peripheral venous catheter.

作者: Neriman Zengin , Nuray Enç

DOI: 10.1111/J.1365-2702.2006.01858.X

关键词: Coagulation testingPeripheral venous catheterVenipunctureBlood samplingProthrombin timeAnesthesiaSurgeryMedicineSignificant differencePartial thromboplastin timePeripheral

摘要: Aim.  To compare prothrombin time and activated partial thromboplastin values in concurrent blood samples obtained by direct venipuncture from a peripheral venous catheter. Method.  Concurrent catheters were studied. Venipuncture labelled as the reference (control) group catheter experimental group. A 21-gauge needle was used method 18G, 20G, 22G method. In each case, after drawn needles out, 1·8 ml of added to 0·2 ml citrate give 2 ml sample. The tube shaken gently mix well. Results.  No clinically significant difference between seen methods. Discussion.  It is recommended that can be for patients with high bleeding risk if they have long hospital stay frequent are needed. Relevance clinical practice.  applications, nurses may prefer use both comfort who get anticoagulation therapy prevention risks result venipuncture. Application eliminates superficial bleeding, irritation, pain anxiety caused

参考文章(18)
E Konopad, M Grace, R Johnston, T Noseworthy, A Shustack, Comparison of PT and aPTT values drawn by venipuncture and arterial line using three discard volumes. American Journal of Critical Care. ,vol. 1, pp. 94- 101 ,(1992) , 10.4037/AJCC1992.1.3.94
Steven J. Zlotowski, Douglas F. Kupas, G.Craig Wood, Comparison of laboratory values obtained by means of routine venipuncture versus peripheral intravenous catheter after a normal saline solution bolus Annals of Emergency Medicine. ,vol. 38, pp. 497- 504 ,(2001) , 10.1067/MEM.2001.118015
James C. Barton, Coagulation Testing of Hickman Catheter Blood in Patients With Acute Leukemia Archives of Internal Medicine. ,vol. 146, pp. 2165- 2169 ,(1986) , 10.1001/ARCHINTE.1986.00360230089014
M. J. Heap, S. A. Ridley, K. Hodson, F. J. Martos, Are coagulation studies on blood sampled from arterial lines valid Anaesthesia. ,vol. 52, pp. 640- 645 ,(1997) , 10.1111/J.1365-2044.1997.148-AZ0152.X
Moirra K Cruickshank, Mark N Levine, Jack Hirsh, Robin Roberts, Margaret Siguenza, A STANDARD HEPARIN NOMOGRAM FOR THE MANAGEMENT OF HEPARIN THERAPY JAMA Internal Medicine. ,vol. 151, pp. 333- 337 ,(1991) , 10.1001/ARCHINTE.1991.00400020085018
K Templin, M Shively, J Riley, Accuracy of drawing coagulation samples from heparinized arterial lines. American Journal of Critical Care. ,vol. 2, pp. 88- 95 ,(1993) , 10.4037/AJCC1993.2.1.88
Teri Haddon, Harold Roberts, Celeste Lindley, Jacqueline Nolen, James Meade, William Sawyer, Lise Johansen, Comparison of PT, aPTT, and factor VII values obtained by concurrent sample collection by direct venipuncture and peripheral venous catheters. Pharmacotherapy. ,vol. 14, pp. 224- 228 ,(1994) , 10.1002/J.1875-9114.1994.TB02813.X
SN Noureddine, Research review: use of activated clotting time to monitor heparin therapy in coronary patients American Journal of Critical Care. ,vol. 4, pp. 272- 277 ,(1995) , 10.4037/AJCC1995.4.4.272
D J Mayo, W Kramer, E P Dimond, M K Horne rd, Discard volumes necessary for clinically useful coagulation studies from heparinized Hickman catheters. Oncology Nursing Forum. ,vol. 23, pp. 671- 675 ,(1996)
Cannon K, Mitchell Ka, Fabian Tc, Prospective randomized evaluation of two methods of drawing coagulation studies from heparinized arterial lines. Heart & Lung. ,vol. 14, pp. 392- 395 ,(1985)