Generalizability and Effectiveness of Butterfly Phlebotomy in Reducing Hemolysis

被引：8

作者：

Barnaby, Douglas P. ^{[1
]}

Wollowitz, Andrew ^{[1
]}

White, Deborah ^{[1
]}

Pearlman, Scott ^{[1
]}

Davitt, Michelle ^{[1
]}

Holihan, Laura ^{[2
]}

Bijur, Polly ^{[1
]}

Gallagher, E. John ^{[1
]}

机构：

[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Emergency Med, Bronx, NY 10467 USA

[2] Montefiore Med Ctr, Dept Nursing, 111 E 210th St, Bronx, NY 10467 USA

来源：

ACADEMIC EMERGENCY MEDICINE | 2016年 / 23卷 / 02期

关键词：

INTRAVENOUS CATHETER; EMERGENCY-DEPARTMENT; BLOOD; RATES; COLLECTION;

D O I：

10.1111/acem.12858

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

ObjectivesThe objective was to test the hypothesis that exclusive use of butterfly needles for phlebotomy, compared with sample collection via intravenous (IV) catheter, will reduce rates of sample hemolysis. MethodsThis was an observational study of hemolysis rates before and after implementation of a butterfly-only phlebotomy protocol. Weekly hemolysis rates, generated by the central laboratory, were collected and the proportion of hemolyzed specimens before and after protocol implementation were compared. ResultsPrior to institution of the butterfly-only protocol, 11.3% of specimens sent from the emergency department were reported as hemolyzed. During the postintervention period, only 4.3% of specimens were hemolyzed for a proportionate decrease of 62% and an absolute decrease of 7.0% (95% confidence interval=6.6% to 7.3%). ConclusionsUse of a butterfly-only phlebotomy protocol cuts hemolysis rates by more than half when compared with IV catheter phlebotomy.

引用

页码：204 / 207

页数：4

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