ABSTRACT
This prospective, comparative study examined blood test results, hemolysis rates, and patient perceptions related to 2 blood sampling methods in pediatric inpatients (N = 95). Blood specimens were drawn via venipuncture and a short peripheral catheter used for fluid administration. Results revealed no significant differences in potassium and glucose levels. No clinically significant difference in hemoglobin was noted. Hemolysis rates were 4% for venipuncture samples and 15% when drawn from peripheral catheters. One catheter became occluded after a blood draw. Patients/parents rated distress and dissatisfaction with venipuncture as significantly greater compared with short peripheral catheter blood sampling (P < .001).
Subject(s)
Catheterization, Central Venous , Inpatients , Pediatrics , Phlebotomy , Child , Hemoglobins/analysis , Hemolysis , Humans , Prospective StudiesABSTRACT
This randomized, double-blinded study prospectively compared two solutions for their anesthetic effect during initiation of peripheral intravenous catheters. Each subject received an intradermal injection of one solution at the intended venipuncture site immediately before vein cannulation. After catheter placement, the subjects rated their discomfort associated with this procedure using the Wong-Baker FACES Pain Rating Scale. Of the 47 subjects included in this study, 21 received lidocaine hydrochloride 1% with sodium bicarbonate and 26 received sodium chloride 0.9% with benzyl alcohol. No statistically significant difference in pain scores was found between the two groups (P =.429).