Effect of peripheral IV based blood collection on catheter dwell time, blood collection, and patient response

Abstract

Daily PIVO blood collections did not negatively affect PIVC dwell or replacement rates. Overall 81% of blood collection attempts were successful and the likelihood of success was strongly associated with PIVC condition. Patients reported 0.7/10 pain for PIVO blood collection on a 0-10 pain scale and a 9.1/10 preference for PIVO on a 0 (strongly prefer needle) to 10 (strongly prefer PIVO) preference scale. Results suggest that use of a PIV based blood collection was a reliable and valid approach and was superior to routine phlebotomy in self-reported responses from patients.

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

“…Although blood samples have traditionally been drawn from peripheral venepuncture, it has been reported PIVCs are being used for the purpose of taking bloods other than in emergency situations (Carr et al, 2016;Decker et al, 2016;Dietrich, 2004). Arguments for obtaining blood samples from PIVCs include patient comfort as the patient is only 'stabbed' once, convenience of access if frequent sampling is required (Mulloy, Lee, Gregas, Hoffman, & Ashley, 2018), and it may be more appropriate for certain populations such as paediatrics and patients on anticoagulants (Berger-Achituv, Budde-Schwartzman, Ellis, Shenkman, & Erez, 2010;Zengin & Enc, 2008).…”

“…A number of studies have investigated the efficacy of sampling blood from PIVC's. Studies investigating the practice have focused on the prevalence of haemolysis (Grant, 2003;Lowe et al, 2008;Phelan et al, 2018;Seemann & Reinhardt, 2000;Stauss et al, 2012;Wollowitz, Bijur, Esses, & Gallagher, 2013); equivalence with laboratory values drawn from venepuncture (Corbo, Fu, Silver, Atallah, & Bijur, 2007;Hambleton, Gomez, & Andreu, 2014;Zlotowski, Kupas, & Wood, 2001); the risk of blood culture contamination (Kelly & Klim, 2013;Self et al, 2012); and device failure caused by blood sampling (Mulloy et al, 2018). 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.…”

Drawing blood from peripheral intravenous cannula compared with venepuncture: A systematic review and meta‐analysis

“…Some examples include patients who are known to be a difficult venepuncture; who have limited venous access; require multiple blood draws; who are obese, dehydrated or oedematous; and patients on anticoagulation therapy who are at increased risk of bleeding. Moreover, there has been a recent single study (Mulloy, Lee, Gregas, Hoffman, & Ashley, ) into a device that attaches to the PIVC and threads a sterile catheter through the PIVC into the vein allowing needle‐free blood draws. This study should be replicated in different patient populations and an economic analysis conducted.…”

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

“…While blood can be drawn from PIVC, there are several states and territories in Australia where this is avoided, in part, due to the perceived association between PIVC blood draws and increased risk of haemolysis, sample dilution, bloodstream infection and phlebitis (Mulloy, Lee, Gregas, Hoffman, & Ashley, 2018). Yet the evidence around the use of PIVC for blood sampling is unclear.…”