Prospective Study Evaluating Whether Standard Peripheral Intravenous Catheters Can Be Used for Blood Collection Throughout Hospital Stay.
Justin Psaila, Thomas F Parsons, Susan A Hahn and 1 others
PMID 36571827WHAT IT FOUND
Drawing blood from an existing peripheral IV catheter after 12 hours rarely worked: only 28 of 105 attempts succeeded.
Do not use this as a reliable way to avoid venipuncture.
Key findings
01Blood collection from existing peripheral IV catheters was rarely successful: 28 of 105 attempts succeeded overall, and 22 of 85 first attempts succeeded.
02Success did not differ significantly across dwell-time ranges of 12-24, 24-48, 48-72, and 72-87 hours.
03The study reported higher success in men (33.3%) than women (10.7%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 83 patients were analysed, and the longest dwell-time group had only 6 attempts, so the estimate for catheters in place 72-87 hours is imprecise. The study was done at one large medical center and used a specific 1-inch catheter, tubing, dressing, and flush protocol, so results may not apply to every peripheral IV setup. Patients who could not consent, who were at high risk of anemia, or whose catheter dwell time was unknown were not included or were excluded, so this does not address those groups. The study did not compare blood draws from the same patients with venipuncture, so it does not directly show how often venipuncture would have succeeded instead. The authors did not determine why draws failed; possible catheter, vessel, dressing, flushing, and equipment factors were outside the study scope.
Declared interests
This study was sponsored by Velano Vascular, Inc, a subsidiary of Becton, Dickinson and Company. The authors declared no other conflicts.
The easy way to misread this
Do not conclude that peripheral IV catheters can never be used for blood collection. This study tested catheters already in place for at least 12 hours, and the paper notes that draws at insertion in the emergency department are usually successful.