scholarly journals A cross-sectional study to compare two blood collection methods: direct venous puncture and peripheral venous catheter

BMJ Open ◽  
2014 ◽  
Vol 4 (2) ◽  
pp. e004250 ◽  
Author(s):  
Nativitat Ortells-Abuye ◽  
Teresa Busquets-Puigdevall ◽  
Maribel Díaz-Bergara ◽  
Marta Paguina-Marcos ◽  
Inma Sánchez-Pérez
2017 ◽  
Vol 4 (9) ◽  
pp. e424-e430 ◽  
Author(s):  
Katarina Göransson ◽  
Ulrika Förberg ◽  
Eva Johansson ◽  
Maria Unbeck

Author(s):  
Alana Oliveira Porto ◽  
Carla Bianca De Matos Leal ◽  
Dieslley Amorim De Souza ◽  
Jéssica Lane Pereira Santos

Objective: To analyze the nursing care provided to users of peripheral venous catheter. Method: Descriptive, cross-sectional study, performed at a mid-sized hospital situated in the high productive backcountry of Bahia, whose participants were surgical patients using peripheral venous catheters for more than 72 hours. Results: 103 patients were included; 15.5% of the bandages were dirty and/or wet, 40.8% had no date of insertion, 58.3% had no professional identification, 34.9% showed signs of infection, 50.4% did not have records on the chart and 33% presented bacterial growth. Conclusion: Nursing care to users of peripheral venous catheters has not been adequate, resulting in preventable complications when considering scientific recommendations for care with peripheral venous access.


2020 ◽  

Study objective: Central venous catheterization is an essential component of intensive care of critically ill patients, and proper positioning of the catheter is essential to prevent position-related complications. This study was conducted by using digital tape measurement to objectively assess clinician preferences for central venous catheter positioning based on specific position levels and landmarks on post-procedural chest radiographs. Design: A cross-sectional study using electronic questionnaire survey. Setting: Single academic teaching hospital participated in this study. Participants: The study enrolled 276 physicians from multiple clinical disciplines. Interventions: None. Measurements: A seven-level reference system labeled on a sample chest radiograph was used to identify the acceptable lower and upper limits and landmarks used to determine the optimal central venous catheter tip position as well as the pattern of clinical practices based on the specialty and level of experience of participants. Main results: Among the 276 respondents, the ratio of cumulative acceptance for the lower and upper catheter tip limit was 62% and 66.3% within a 4-cm range below or above the carina, respectively. Intensive care unit (ICU) physicians showed a greater tendency to choose a catheter tip 4 cm below and 6 cm above the carina (p = 0.004 and 0.002, respectively) as did experienced physicians (p = 0.007 and < 0.001, respectively). The commonest reason for catheter tip withdrawal was arrhythmia (50% of cases). Physicians in the ICU and experienced physicians were more concerned about the risk of cardiac perforation than other respondents (p < 0.001 and < 0.001, respectively). The carina was the most commonly used landmark in 71.7% of all physicians, although 50% of radiologists also used other landmarks. Conclusions: The acceptable limit of the catheter tip is 4 cm above and below the carina (-4 to +4), as determined on chest radiography, without a need for tip adjustment.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Izaya Nakaya ◽  
Taijiro Goto ◽  
Yuki Nakamura ◽  
Kazuhiro Yoshikawa ◽  
Junji Oyama ◽  
...  

Abstract Background Creating permanent vascular access (VA) is recommended before hemodialysis initiation in patients with end-stage renal disease (ESRD). Although many patients are still introduced to hemodialysis with temporary central venous catheters (CVCs), the reasons for their use remain unclear. We aimed to clarify the characteristics of Japanese patients introduced to hemodialysis using temporary CVCs, the reasons for their use, and whether this rate can be reduced in the future. Methods We conducted this cross-sectional study in an acute care general hospital in Japan. We enrolled 393 patients aged ≥ 18 years who received a permanent VA creation for initiating hemodialysis. We classified participants into the temporary CVC group or the permanent VA group according to the VA type at hemodialysis initiation and compared their backgrounds. We identified why permanent VA could not be used at hemodialysis initiation for patients in the temporary CVC group. Results Of the 393 patients, 137 (35%) initiated hemodialysis with a temporary CVC, and arteriovenous fistulas (AVFs) were created as the first VA in all patients during hospitalization following hemodialysis initiation. The remaining 256 patients (65%) initiated hemodialysis via AVF cannulation. The duration of predialysis nephrology care was significantly shorter in the temporary CVC group than that in the permanent VA group. The median time from AVF creation to the first successful cannulation was also shorter in the temporary CVC group (8 vs. 66 days, P < 0.001), but the estimated glomerular filtration rate values at hemodialysis initiation did not differ. Reasons for temporary CVC use were varied and complex. Problems on the part of healthcare providers, patient behavioral issues, and characteristics of causative kidney disease itself were underlying reasons. Delayed referral to a nephrologist was less frequent than expected (16%) and the most commonly reported reason (20%) was that a nephrologist was unable to predict the timing of hemodialysis initiation. Conclusions Patients with ESRD should be referred to a nephrologist earlier for AVF creation. However, given the already relatively high rate of hemodialysis initiation with permanent VA in Japan, we considered it surprisingly difficult to further reduce the temporary CVC usage rate in Japan.


2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Fatemeh Jaafaraghaei ◽  
Monireh Aghajany-Nasab ◽  
Mahsa Aghaei ◽  
Nazila Javadi pashaki ◽  
Ehsan Kazemnejhad Leili

Objective: The aim of this study was to compare the results of some biochemical values in venous blood samples obtained by direct venipuncture (DV) and peripheral venous catheter (PVC). Methods: In this cross-sectional study, 78 hospitalized patients in different wards of Poor-Sina Medical and Educational Center of Rasht in 2017 were divided into three equal groups, including patients who were treated with normal saline and dextrose saline and those who did not receive this solution. Two separate blood samples were obtained from each patient, one from PVC and the other from DV. The levels of sodium, potassium, creatinine and blood urea nitrogen (BUN) were measured and compared. Results: Difference of PVC with DV in BUN was generally 0.32±3.18 mg/dl; creatinine, sodium and potassium were 0.02±0.12 mg/dl, 1.00±2.49 mEq/L and 0.15±0.48 mEq/L respectively. There were no statistically significant differences between the two methods in relation to BUN and creatinine (P = 0.377 and P = 0.149, respectively), but significant differences in levels of sodium and potassium were observed between the two blood sampling methods (P = 0.001 and P = 0.008, respectively). Conclusion: According to the results of this study and other studies, PVC can be used to measure BUN and creatinine, not so for sodium and potassium. For other parameters, further investigation is needed.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Griffins O. Manguro ◽  
Linnet N. Masese ◽  
Kishor Mandaliya ◽  
Susan M. Graham ◽  
R. Scott McClelland ◽  
...  

Following publication of the original article [1], we have been notified that another author should be added to the team of authors. The Name and affiliation details are below.


2011 ◽  
Vol 5 (7) ◽  
pp. 1691
Author(s):  
Azenath Helena Silva ◽  
Poliana Silva Brito ◽  
Pollyana Maciel Oliveira ◽  
Regina Célia Oliveira

ABSTRACTObjective: to evaluate venous puncture technique developed by nursing professionals. Method: this is about a descriptive, exploratory and cross-sectional study from a quantitative approach, approved by the Ethical Committee for Research at the Hospital da Restauração, with the following CAAE: 0041.0.102.000-09. The study population was consisted by nursing professionals responsible for drug therapy and 44 of them composed the samples. The collection technique used was of non-participant observation. Using a checklist, the data were statistically treated related to frequency and percentages. Results: the authors verified that the criterion of washing hands did not happen before the procedure in 82%(74) of the punctures and 81%(73) after the procedure was not observed. The professionals used procedure gloves in 32%(29) of all times. Antisepsis was not performed in 57%(51) of the cases. The use of the same device occurred in 10%(9) of punctures. 51%(46) of the professionals did not observe the patient's complaints. Most professionals 92%(83) guided not the patient about the puncture care. Conclusion: It was noted with this study how the procedure of venous puncture has been neglected. Descriptors: peripheral catheterization; blood vessels; nursing care.RESUMOObjetivo: avaliar a técnica da punção venosa desenvolvida pelos profissionais de enfermagem. Método: estudo descritivo–exploratório, quantitativo e de corte transversal aprovado pelo Comitê de Ética em Pesquisa do Hospital da Restauração com o seguinte CAAE: 0041.0.102.000-09. A população foi constituída por profissionais de Enfermagem responsáveis pela terapia medicamentosa e desta, 44 compuseram amostra. A técnica de coleta utilizada foi a de observação não participante. Utilizando-se um check-list, cujos dados foram tratados estatisticamente e levou-se em conta a frequência e as porcentagens. Resultados: constatou-se que, quanto ao critério da lavagem das mãos, que isto não aconteceu antes do procedimento em 82%(74) das punções e em 81%(73), após o procedimento, também não foi observada. Em apenas 32%(29) das vezes os profissionais usaram luvas de procedimento. Já a antissepsia não foi realizada em 57% (51) dos casos. O uso do mesmo dispositivo aconteceu em 10%(9) das punções. E 51%(46) dos profissionais não observaram as queixas do paciente. A maioria dos profissionais, 92%(83), não orientou o paciente quanto ao cuidado com a punção. Conclusão: percebeu-se, com este estudo, o quanto o procedimento da punção venosa vem sendo negligenciado. Descritores: cateterismo periférico; vasos sanguíneos; assistência de enfermagem.RESUMENObjetivo: evaluar la técnica de la venopunción periférica desarrollada por los profesionales de enfermería. Método: estudio descriptivo, exploratorio, cuantitativo y comprobado por el Comité de Ética y Busca del Hospital de Restauración con el siguiente CAEE: 0041.0.102.000-09. La población fue constituida por los profesionales de enfermería responsables del tratamiento medicamentoso y compuesto por 44 muestras. La técnica de recolección fue utilizada por la observación no participante utilizando una lista de comprobación, los datos fueron tratados estadísticamente relativos a la frecuencia y porcentajes. Resultados: los autores verificaron que, en relación con el criterio de lavarse las manos que no ocurrió antes del procedimiento en el 82%(74) de las punciones  y en 81%(73) después del procedimiento no observado tampoco. En sólo 32%(29) los profesionales utilizan guantes de procedimiento. Ya antisepsia no fue realizada en 57%(51) de los casos. El uso del mismo dispositivo ocurrió en 10%(9) de las punciones. Y 51%(46) del profesionales no observaran las quejas del pacientes. La mayoría de los profesionales, 92%(83) no orientan a los pacientes cuidar de la punción. Conclusión: se observó en este estudio como el procedimiento de venopunción se ha descuidado. Descriptores: cateterización periférica; los vasos sanguíneos; los cuidados de enfermería.


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