Evaluation of an improved small gauge needle for venipuncture in children with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception
•BD UltraTouch Push Button and Safety-Lok Blood Collection Sets were compared in children.•Degree of hemolysis was not significantly associated with blood collection sets.•Children pain score was significantly lower for UT-PBBCS compared to SLBCS.•Phlebotomist venipuncture difficulty was significant...
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| Published in | Clinica chimica acta Vol. 500; pp. 213 - 219 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.01.2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0009-8981 1873-3492 1873-3492 |
| DOI | 10.1016/j.cca.2019.10.019 |
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| Abstract | •BD UltraTouch Push Button and Safety-Lok Blood Collection Sets were compared in children.•Degree of hemolysis was not significantly associated with blood collection sets.•Children pain score was significantly lower for UT-PBBCS compared to SLBCS.•Phlebotomist venipuncture difficulty was significantly reduced in UT-PBBCS.
Smaller needles gauge (G) may reduce pain and improve vein access in difficult venous access (DVA). Aims were to compare the performances of two Beckton-Dickinson (BD) Vacutainer® Blood Collection Sets in a pediatric setting: UltraTouch™ Push Button (UT-PBBCS) and Safety-Lok™ (SLBCS).
Questionnaires were used to record venipuncture features, patient pain perception and phlebotomist difficulty score. Specimen quality was evaluated by hemolysis index (HI) on Roche Cobas® 6000.
SLBCS (21/23G) or UT-PBBCS (23/25G) were used in 211 (50.2%) and 209 (49.8%) subjects. Pain was associated with age (p < 0.0001) and was lower in UT-PBBCS (p = 0.0339). Difficulty was significantly associated with age (p = 0.002), not with needle gauge (p = 0.461) and it was 0.42 points lower in UT-PBBCS. HI was not associated with blood collection set (p = 0.385).
UT-PBBCS globally performed better than SLBCS and could enhance phlebotomy and patient comfort, without affecting sample quality in pediatric patients with DVA. |
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| AbstractList | •BD UltraTouch Push Button and Safety-Lok Blood Collection Sets were compared in children.•Degree of hemolysis was not significantly associated with blood collection sets.•Children pain score was significantly lower for UT-PBBCS compared to SLBCS.•Phlebotomist venipuncture difficulty was significantly reduced in UT-PBBCS.
Smaller needles gauge (G) may reduce pain and improve vein access in difficult venous access (DVA). Aims were to compare the performances of two Beckton-Dickinson (BD) Vacutainer® Blood Collection Sets in a pediatric setting: UltraTouch™ Push Button (UT-PBBCS) and Safety-Lok™ (SLBCS).
Questionnaires were used to record venipuncture features, patient pain perception and phlebotomist difficulty score. Specimen quality was evaluated by hemolysis index (HI) on Roche Cobas® 6000.
SLBCS (21/23G) or UT-PBBCS (23/25G) were used in 211 (50.2%) and 209 (49.8%) subjects. Pain was associated with age (p < 0.0001) and was lower in UT-PBBCS (p = 0.0339). Difficulty was significantly associated with age (p = 0.002), not with needle gauge (p = 0.461) and it was 0.42 points lower in UT-PBBCS. HI was not associated with blood collection set (p = 0.385).
UT-PBBCS globally performed better than SLBCS and could enhance phlebotomy and patient comfort, without affecting sample quality in pediatric patients with DVA. Smaller needles gauge (G) may reduce pain and improve vein access in difficult venous access (DVA). Aims were to compare the performances of two Beckton-Dickinson (BD) Vacutainer® Blood Collection Sets in a pediatric setting: UltraTouch™ Push Button (UT-PBBCS) and Safety-Lok™ (SLBCS).BACKGROUNDSmaller needles gauge (G) may reduce pain and improve vein access in difficult venous access (DVA). Aims were to compare the performances of two Beckton-Dickinson (BD) Vacutainer® Blood Collection Sets in a pediatric setting: UltraTouch™ Push Button (UT-PBBCS) and Safety-Lok™ (SLBCS).Questionnaires were used to record venipuncture features, patient pain perception and phlebotomist difficulty score. Specimen quality was evaluated by hemolysis index (HI) on Roche Cobas® 6000.MATERIALS AND METHODSQuestionnaires were used to record venipuncture features, patient pain perception and phlebotomist difficulty score. Specimen quality was evaluated by hemolysis index (HI) on Roche Cobas® 6000.SLBCS (21/23G) or UT-PBBCS (23/25G) were used in 211 (50.2%) and 209 (49.8%) subjects. Pain was associated with age (p < 0.0001) and was lower in UT-PBBCS (p = 0.0339). Difficulty was significantly associated with age (p = 0.002), not with needle gauge (p = 0.461) and it was 0.42 points lower in UT-PBBCS. HI was not associated with blood collection set (p = 0.385).RESULTSSLBCS (21/23G) or UT-PBBCS (23/25G) were used in 211 (50.2%) and 209 (49.8%) subjects. Pain was associated with age (p < 0.0001) and was lower in UT-PBBCS (p = 0.0339). Difficulty was significantly associated with age (p = 0.002), not with needle gauge (p = 0.461) and it was 0.42 points lower in UT-PBBCS. HI was not associated with blood collection set (p = 0.385).UT-PBBCS globally performed better than SLBCS and could enhance phlebotomy and patient comfort, without affecting sample quality in pediatric patients with DVA.CONCLUSIONSUT-PBBCS globally performed better than SLBCS and could enhance phlebotomy and patient comfort, without affecting sample quality in pediatric patients with DVA. Smaller needles gauge (G) may reduce pain and improve vein access in difficult venous access (DVA). Aims were to compare the performances of two Beckton-Dickinson (BD) Vacutainer® Blood Collection Sets in a pediatric setting: UltraTouch™ Push Button (UT-PBBCS) and Safety-Lok™ (SLBCS). Questionnaires were used to record venipuncture features, patient pain perception and phlebotomist difficulty score. Specimen quality was evaluated by hemolysis index (HI) on Roche Cobas® 6000. SLBCS (21/23G) or UT-PBBCS (23/25G) were used in 211 (50.2%) and 209 (49.8%) subjects. Pain was associated with age (p < 0.0001) and was lower in UT-PBBCS (p = 0.0339). Difficulty was significantly associated with age (p = 0.002), not with needle gauge (p = 0.461) and it was 0.42 points lower in UT-PBBCS. HI was not associated with blood collection set (p = 0.385). UT-PBBCS globally performed better than SLBCS and could enhance phlebotomy and patient comfort, without affecting sample quality in pediatric patients with DVA. |
| Author | Mazzone, Raffaella Sirini, Sara Padoan, Andrea Meyer, Brendan Plebani, Mario Grillo, Caterina Mesiti, Cristina |
| Author_xml | – sequence: 1 givenname: Andrea surname: Padoan fullname: Padoan, Andrea email: andrea.padoan@unipd.it organization: Department of Medicine-DIMED, University of Padova, Via Giustiniani 2, 35128 Padua, Italy – sequence: 2 givenname: Sara surname: Sirini fullname: Sirini, Sara organization: BD Life Sciences – Milan, Italy – sequence: 3 givenname: Raffaella surname: Mazzone fullname: Mazzone, Raffaella organization: Department of Laboratory Medicine – S.S.D. Coordinamento Centri Prelievo A.O.U. Città della Salute e della Scienza, C.so Bramante 88/90, 10126 Turin, Italy – sequence: 4 givenname: Cristina surname: Mesiti fullname: Mesiti, Cristina organization: Department of Laboratory Medicine – S.S.D. Coordinamento Centri Prelievo A.O.U. Città della Salute e della Scienza, C.so Bramante 88/90, 10126 Turin, Italy – sequence: 5 givenname: Caterina surname: Grillo fullname: Grillo, Caterina organization: Department of Laboratory Medicine - S.C. Biochimica Clinica, Città della Salute e della Scienza, C.so Bramante 88/90, 10126 Turin, Italy – sequence: 6 givenname: Brendan surname: Meyer fullname: Meyer, Brendan organization: BD Life Sciences – Winnersh, Wokingham, United Kingdom – sequence: 7 givenname: Mario orcidid: 0000-0002-0270-1711 surname: Plebani fullname: Plebani, Mario organization: Department of Medicine-DIMED, University of Padova, Via Giustiniani 2, 35128 Padua, Italy |
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| CitedBy_id | crossref_primary_10_1093_jalm_jfab109 crossref_primary_10_1016_j_ijnurstu_2021_104131 crossref_primary_10_1093_jalm_jfac129 crossref_primary_10_1177_00045632231196045 crossref_primary_10_1016_j_ejon_2024_102680 crossref_primary_10_1515_labmed_2024_0097 |
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| Keywords | Hemolysis Blood collection device Difficult venous access Pain Children 25 Gauge needle |
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| Snippet | •BD UltraTouch Push Button and Safety-Lok Blood Collection Sets were compared in children.•Degree of hemolysis was not significantly associated with blood... Smaller needles gauge (G) may reduce pain and improve vein access in difficult venous access (DVA). Aims were to compare the performances of two... |
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| SubjectTerms | 25 Gauge needle Blood collection device Children Difficult venous access Hemolysis Pain |
| Title | Evaluation of an improved small gauge needle for venipuncture in children with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception |
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