A Novel Needle-Free Blood Draw Device for Sample Collection From Short Peripheral Catheters.
Caprice Cadacio, Irving Nachamkin
PMID 28419012WHAT IT FOUND
Blood drawn through a short peripheral catheter with a needle-free device matched venipuncture sample quality and caused less discomfort: mean pain 0.4 of 10 versus 1.8 of 10.
It was not tested in hospitalized patients.
Key findings
01Samples collected with the needle-free device through short peripheral catheters showed no hemolysis and agreed with venipuncture within allowable error for hemolysis and hemostasis tests.
02Device draws were rated less painful than venipuncture, with average discomfort 0.4 of 10 versus 1.8 of 10, and the difference was statistically significant.
03The device had 95% overall draw success, while venipuncture had 98% overall success.
STILL TO COME
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What it does not show
The study was done in healthy adult volunteers, not in hospitalized patients who are the usual reason for frequent blood draws. The design was nonrandomized, and each participant served as his or her own control, so order effects and selection could influence the paired comparisons. Only 30 volunteers were enrolled, and 102 of 120 expected draws were analyzed because of catheter placement failures, draw failures, and laboratory labeling errors. Nearly half of the draws were performed by one nurse, so the experience may not transfer to other staff or settings. Device draws were always performed after venipuncture, and all samples were sent to the laboratory together, which the authors noted could introduce clinical variability. Pain was a secondary outcome, and draw times were reported descriptively without statistical analysis. The study did not test patients with difficult vascular access, bleeding disorders, pediatric patients, or outcomes such as anemia, infection, sharps injuries, or repeat testing.
The easy way to misread this
Do not conclude that this needle-free device is proven for routine use in hospitalized patients. It was tested in healthy adults, not in the patients who usually need frequent draws, and it did not measure anemia, infection, sharps injuries, or repeat testing.