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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 王尚麟 | zh_TW |
dc.contributor.advisor | Shang-Lin Wang | en |
dc.contributor.author | 吳佳真 | zh_TW |
dc.contributor.author | Chia-Chen Wu | en |
dc.date.accessioned | 2023-09-22T17:17:44Z | - |
dc.date.available | 2023-11-09 | - |
dc.date.copyright | 2023-09-22 | - |
dc.date.issued | 2023 | - |
dc.date.submitted | 2023-08-10 | - |
dc.identifier.citation | Jeong Y, Park H, Jung MJ, Kim MS, Byun S, Choi Y. Comparisons of laboratory results between two blood samplings: Venipuncture versus peripheral venous catheter—A systematic review with meta‐analysis. J Clin Nurs. 2019;28(19-20):3416-29.
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Are current clinical guidelines on the use of Peripheral Intravenous Cannula for blood draws supported by evidence? An organizational case study. Nurs Open. 2020;7(6):1746-54. Grant MS. The effect of blood drawing techniques and equipment on the hemolysis of ED laboratory blood samples. J Emerg Nurs. 2003;29(2):116-21. Phelan MP, Reineks EZ, Schold JD, Hustey FM, Chamberlin J, Procop GW. Preanalytic factors associated with hemolysis in emergency department blood samples. Arch Pathol Lab Med. 2018;142(2):229-35. Seemann S, Reinhardt A. Blood sample collection from a peripheral catheter system compared with phlebotomy. J Infus Nurs. 2000;23(5):290-7. Stauss M, Sherman B, Pugh L, Parone D, Looby-Rodriguez K, Bell A, et al. Hemolysis of coagulation specimens: a comparative study of intravenous draw methods. J Emerg Nurs. 2012;38(1):15-21. Corbo J, Fu L, Silver M, Atallah H, Bijur P. Comparison of laboratory values obtained by phlebotomy versus saline lock devices. Acad Emerg Med. 2007;14(1):23-7. Kelly AM, Klim S. Taking blood cultures from a newly established intravenous catheter in the emergency department does not increase the rate of contaminated blood cultures. Emerg Med Australas. 2013;25(5):435-8. Self WH, Speroff T, McNaughton CD, Wright PW, Miller G, Johnson JG, et al. Blood culture collection through peripheral intravenous catheters increases the risk of specimen contamination among adult emergency department patients. Infect Control Hosp Epidemiol. 2012;33(5):524-6. Mulloy DF, Lee SM, Gregas M, Hoffman KE, Ashley SW. Effect of peripheral IV based blood collection on catheter dwell time, blood collection, and patient response. Appl Nurs Res. 2018;40:76-9. NSW Ministry of Health. Guideline for Peripheral Intravenous Cannula (PIVC) insertion and post insertion care in adult patients. Sydney (AU): NSW Health; 2013. Royal College of Nursing. Standards for infusion therapy Fourth edition [Internet]; 2016 Dec [updated 2021 Jul 31; cited 2023 Mar 14]; Available from: https://www.rcn.org.uk/Professional-Development/publications/pub-005704. Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon T, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(1S):S1-S224. Government of Western Australia. Insertion and Management of Peripheral Intravenous Cannulae in Healthcare Facilities. Western Australia (AU); 2016. Carr PJ, Rippey J, Moore T, Ngo H, Cooke ML, Higgins NS, et al. Reasons for removal of emergency department–inserted peripheral intravenous cannulae in admitted patients: A retrospective medical chart audit in Australia. Infect Control Hosp Epidemiol. 2016;37(7):874-6. Lindley C, Sawyer W, Haddon T, Meade J, Nolen J, Johansen L, et al. Comparison of PT, aPTT, and factor VII values obtained by concurrent sample collection by direct venipuncture and peripheral venous catheters. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy. 1994;14(2):224-8. Sliwa Jr CM. A comparative study of hematocrits drawn from a standard venipuncture and those drawn from a saline lock device. J Emerg Nurs. 1997;23(3):228-31. Prue-Owens LKK. Use of peripheral venous access devices for obtaining blood samples for measurement of activated partial thromboplastin times. Crit Care Nurse. 2006;26(1):30-8. Yazdankhahfard M, Taghizadeganzadeh M, Farzaneh M, Mirzaei K. Checking accuracy of hematological and biochemical tests of blood samples taken from venous catheter infusion fluids after stop infusion fluids for a minute. Biosci Biotechnol Res Asia. 2016;13(2):895-9. Lesser FD, Lanham DA, Davis D. Blood sampled from existing peripheral IV cannulae yields results equivalent to venepuncture: a systematic review. JRSM Open. 2020;11(5):2054270419894817. Fincher RK, Strong JS, Jackson JL. Accuracy of measurements of hemoglobin and potassium in blood samples from peripheral catheters. Am J Crit Care.1998;7(6):439. Soderberg J, Jonsson PA, Wallin O, Grankvist K, Hultdin J. Haemolysis index–an estimate of preanalytical quality in primary health care. Clin Chem Lab Med. 2009;47(8):940-4. Goyal T, Schmotzer CL. Validation of hemolysis index thresholds optimizes detection of clinically significant hemolysis. Am J Clin Pathol. 2015;143(4):579-83. Halm MA, Gleaves M. Obtaining blood samples from peripheral intravenous catheters: best practice? Am J Crit Care. 2009;18(5):474-8. Dugan L, Leech L, Speroni KG, Corriher J. Factors affecting hemolysis rates in blood samples drawn from newly placed IV sites in the emergency department. J Emerg Nurs. 2005;31(4):338-45. Burns ER, Yoshikawa N. Hemolysis in serum samples drawn by emergency department personnel versus laboratory phlebotomists. Lab Med. 2002;33(5):378-80. Kennedy C, Angermuller S, King R, Noviello S, Walker J, Warden J, et al. A comparison of hemolysis rates using intravenous catheters versus venipuncture tubes for obtaining blood samples. J Emerg Nurs. 1996;22(6):566-9. Andross JM. The Effect of Arm Dominance on Speciman Integrity when Sampling Blood from IV Catheters [dissertation on the Internet]. St. John Fisher University; 2010 [cited April 2] Available from: https://fisherpub.sjf.edu/nursing_etd_masters/14/ Association EN. Clinical Practice Guideline: Prevention of Blood Specimen Hemolysis in Peripherally-Collected Venous Specimens. J Emerg Nurs. 2018;44(4). Heireman L, Van Geel P, Musger L, Heylen E, Uyttenbroeck W, Mahieu B. Causes, consequences and management of sample hemolysis in the clinical laboratory. Clin Biochem. 2017;50(18):1317-22. Lee H, Lee H, Kim C, Shin H, Lee I, Kim Y. Hemolysis Control in the Emergency Department by Interventional Blood Sampling. J Pers Med. 2023;13(4):651 Frey AM. Drawing blood samples from vascular access devices: evidence-based practice. J Infus Nurs. 2003;26(5):285-93. Adlard K. Examining the push—pull method of blood sampling from central venous access devices. J Pediatr Oncol Nurs. 2008;25(4):200-7. Barr CA, Gianotti G, Graffeo CE, Drobatz KJ, Silverstein DC. Effect of blood collection by the push-pull technique from an indwelling catheter versus direct venipuncture on venous blood gas values before and after administration of alfaxalone or propofol in dogs. J Am Vet Med Assoc. 2017;251(10):1166-74. Byrne D. Comparing the push-pull versus discard blood sample method from adult central vascular access devices. J Infus Nurs. 2016;39(3):130-5. Buriko Y, Murray M, Hess R, Silverstein D. Presample Volume Necessary to Obtain Accurate Laboratory Parameters from Central Venous Catheters in Dogs. J Am Anim Hosp Assoc. 2022;58(1):1-6. May M, Nolen‐Walston R, Utter M, Boston R. Comparison of hematologic and biochemical results on blood obtained by jugular venipuncture as compared with intravenous catheter in adult horses. J Vet Intern Med. 2010;24(6):1462-6. Guarino AL, Specht AJ, Beatty SS, O'Kell AL. Comparison of biochemical and hematologic values obtained via jugular venipuncture and peripheral intravenous catheters in dogs. J Vet Intern Med. 2022;36(5):1628-40. Barr C. ‘Push-Pull’ Blood Sampling in Veterinary Medicine. VETgirl Veterinary Continuing Education Podcasts [Internet]. VETGIRL; 2018 [cited 2023 April 10]. Available from: https://vetgirlontherun.com/podcasts/push-pull-blood-samplingveterinary-medicine-vetgirl-podcasts/ Bauer NB, Er E, Moritz A. Influence of blood collection technique on platelet function and coagulation variables in dogs. Am J Vet Res . 2011;72(1):64-72. Henry CJ, Russell LE, Tyler JW, Buss MS, Seguin B, Cambridge AJ, et al. Comparison of hematologic and biochemical values for blood samples obtained via jugular venipuncture and via vascular access ports in cats. J Am Vet Med Assoc. 2002;220(4):482-5. Rewerts JM, Henry CJ. Veterinary uses of recombinant human granulocyte colony-stimulating factor. II. Infectious diseases. Compend Contin Educ Vet. 1998; 20(7). Nabity MB, Harr KE, Camus MS, Flatland B, Vap LM. ASVCP guidelines: allowable total error hematology. Vet Clin Pathol. 2018;47(1):9-21. Harr KE, Flatland B, Nabity M, Freeman KP. ASVCP guidelines: allowable total error guidelines for biochemistry. Vet Clin Pathol. 2013;42(4):424-36. Jensen A, Wenck A, Koch J, Poulsen J. Comparison of results of haematological and clinical chemical analyses of blood samples obtained from the cephalic and external jugular veins in dogs. Res Vet Sci. 1994;56(1):24-9. Lippi G, Avanzini P, Aloe R, Cervellin G. Blood collection from intravenous lines: is one drawing site better than others? Lab Med. 2014;45(2):172-5. Koseoglu M, Hur A, Atay A, Cuhadar S. Effects of hemolysis interference on routine biochemistry parameters. Biochem Med. 2011;21(1):79-85. Cornell University College of Veterinary Medicine E. Interferences [Internet]. eClinpath; [cited 2023 April 15]. Available from: https://eclinpath.com/testbasics/ interferences/. Mainali S, Davis SR, Krasowski MD. Frequency and causes of lipemia interference of clinical chemistry laboratory tests. Pract Lab Med. 2017;8:1-9. Nikolac N. Lipemia: causes, interference mechanisms, detection and management. Biochem Med. 2014;24(1):57-67. Fernandez Prendes C, Castro Castro MJ, Sanchez Navarro L, Rapun Mas L, Morales Indiano C, Arrobas Velilla T. Handling of lipemic samples in the clinical laboratory. Adv Lab Med. 2023;4(1):5-15. | - |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/90072 | - |
dc.description.abstract | 對於重症以及住院的病患,臨床獸醫師會定期的以血液學檢查評估患者的狀態、制定適合的治療計畫、以提供適當的照顧。由靜脈穿刺抽血是臨床上最傳統的方式,也被認為是最佳的抽血途徑。由於入針時會伴隨著疼痛和不適,因此從周邊靜脈留置針抽血可能是可以考量的替代方式。此方法除了可以減少反覆穿刺對靜脈的創傷、減少可能出現的瘀青和血腫、還可以降低病患的身心壓力。雖然有越來越多人醫的急診醫師們會以留置針進行病患的血液採樣,但是目前針對留置針抽血的相關研究還不明確,在獸醫的臨床文獻更是有限。因此,本篇研究的目的在於比對經由兩種途徑抽血的血液數值,分析探討經由留置針抽血是否可以作為靜脈穿刺抽血的替代途徑。
本篇是一篇隨機、前瞻性、關於方法比較上的研究。納入研究的條件為需要血檢,以及需要放置靜脈留置針的犬隻。分別會從雙側的頭靜脈以不同的方式抽取血液樣本進行平行比對分析。當經由留置針抽血時,為了避免點滴稀釋的影響,因此需先抽取留置針內的點滴液體丟棄 (約300% 的死腔),再進行血液樣本的抽取做完整的血液檢查。總共評估19項的血液數值,其中也包含全血球計數 (CBC)、血清生化數值 (SB) 和電解質分析。每一對樣本之間的誤差將與美國獸醫臨床病理學會 (ASVCP) 所發表的總允許誤差 (cTEa) 去做合理比較。並會以不同的統計軟體進行多重交叉比對。 共有55 對樣本納入本研究,並依照血清顏色依序分類成30 對「透明」、13對「脂血」、以及12 對「溶血」樣本。結果顯示,統計上,「透明」和「脂血」組裡,對於CBC 的各項指數均無顯著差異。而HB 和HCT 則會因溶血而有顯著影響。相較於CBC 在統計學上的一致性,生化在分析上有較多顯著性差異。在「透明」組裡,ALB、ALKP、AST、BUN、CREA、GLU、TP、K+ 和 CL- 均有顯著誤差。「脂血」組裡, 有顯著差別的有ALB、ALKP、GLU、TP 和NA+。以及ALKP,ALT 和AST 在「溶血」組裡也顯著不同。然而,當進行進一步回顧性的各組比對時,統計學存有的顯著誤差上均不會對臨床覺應造成影響。 因鉀和血糖是重要的生化指標,任何偏差都有可能會影響臨床決策。因此,在需要嚴格監控鉀離子以及血糖的患者上,對於經由留置針採取的樣本仍需以客觀的方式進行數據判讀。 總結來說,經由留置針抽出的血液樣本普遍上都是可被接受的,是一個靜脈穿刺的有效替代途徑。然而當檢驗結果接近參考值上下限時,臨床醫師們可能需考量以靜脈穿刺重新抽取血液樣本作為確認指標。 | zh_TW |
dc.description.abstract | In circumstances where patients require intensive care and/or prolonged hospitalization, blood tests are routinely performed for the clinicians to evaluate a patient’s status, establish subsequent treatment plans and ensure ongoing, proper patient management. Direct venipuncture (DV) is a traditional, well-recognized optimal method for blood sampling. However, as DV is invasive and painful, drawing blood from a peripheral intravenous catheter (PIVC) can therefore be an alternative, as it causes less traumatic entries to veins and minimizes patient discomfort, bruising and distress. Despite the increasing use of PIVCs for blood sampling in emergency settings in human medicine, there is; however, a current research gap in comparing the effectiveness of blood sampling from PIVCs to venipuncture, especially in veterinary medicine. Hence, this study aimed to (1) compare the hematology and biochemistry profiles between the two blood collection techniques, and most importantly, (2) investigate if blood sampling from PIVCs can be an alternative to direct venipuncture (DV).
This was a randomized, prospective, method-comparison study. Blood samples were collected from client-owned dogs that required a blood test and a PIVC. Paired DV and PIVC samples were collected from the contralateral cephalic veins. Pre-samples (300% of the dead space) from PIVCs were discarded to minimize the dilution effects from infusions. 19 commonly measured laboratory analytes were evaluated respectively, including complete blood counts (CBC), serum biochemistry panels (SB) and electrolytes levels. Each paired sample was further compared to the consensus total allowable error (cTEa) values that were previously published by the American Society for Veterinary Clinical Pathology (ASVCP) community. The sample pairs were also analyzed for agreement and bias with a variety of statistical methods. Data analysis was performed on a total of 55 paired samples, which were classified into 3 sub-groups according to the serum colors. 30 pairs were “clear”, 13 pairs were “lipemic” and 12 pairs were “hemolytic”. Results showed that there was no statistically significant bias in CBC analytes in the “clear” and “lipemic” groups. However, statistically significant biases were identified in HB and HCT in the “hemolytic” group. Upon the evaluations of serum biochemistry, several statistically significant biases were identified. Statistically significant biases were observed in ALB, ALKP, AST, BUN, CREA, GLU, TP, K+ and GLU in the “clear” group. In the “lipemic” group, statistically significant biases were observed in ALB, ALKP, GLU, TP and NA+, and finally, ALKP, ALT and AST were statistically significant in the “hemolytic” group. When statistically differences were identified, these were subjectively reviewed and were not clinically significant. As potassium (K+) and blood glucose (GLU) play critical roles in homeostasis and cellular functions, any difference between measurements may be clinically important. Results from this study emphasized the importance of interpretations on K+ and GLU, and most importantly, for patients that required a tight control of K+ and GLU, blood samples from the PIVCs should be used with cautions. Ultimately, blood sampling from PIVCs can produce generally acceptable results and be an effective alternative to DV sampling. Nevertheless, for results that are close to either end of a reference interval (RI), careful reassessments on the patients or re-samplings of blood samples via DVs should be considered. | en |
dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2023-09-22T17:17:44Z No. of bitstreams: 0 | en |
dc.description.provenance | Made available in DSpace on 2023-09-22T17:17:44Z (GMT). No. of bitstreams: 0 | en |
dc.description.tableofcontents | 口試委員會審書 i
致謝 ii 中文摘要 iv ABSTRACT vi CONTENTS viii LIST OF TABLES xi LIST OF FIGURES xii LIST OF ABBREVIATIONS xv Chapter 1 Introduction 1 Chapter 2 Literature review 3 2.1 Overview 3 2.2 Systemic reviews (human medicine) 4 2.3 Rate of hemolysis 5 2.4 Dilution or contamination from the infusing lines 6 2.5 Studies in veterinary medicine 8 2.5.1 Summary of veterinary literatures 12 2.5.2 Limitations and rationales 14 Chapter 3 Objectives 15 Chapter 4 Materials and methods 16 4.1 Study design 16 4.2 Ethical considerations 16 4.3 Procedures 16 4.4 Laboratory analysis 18 4.5 Data collection 19 4.6 Statistical analysis 19 Chapter 5 Results 21 5.1 Study population 21 5.2 Lipemia and Hemolysis 21 5.3 Complete blood count (CBC) 22 5.3.1 Acceptability according to the cTEa 22 5.3.2 Bias analysis 22 5.3.3 Clinical significance 23 5.3.4 Statistical plots and graphs 23 5.4 Serum Biochemistry (SB) 23 5.4.1 Acceptability according to the cTEa 23 5.4.2 Bias analysis 24 5.4.3 Clinical significance 25 5.4.4 Statistical plots and graphs 25 Chapter 6 Discussion 26 6.1 Equivalence of results 26 6.1.1 Complete blood count (CBC) 26 6.1.2 Serum biochemistry (SB) 27 A. Potassium 27 B. Glucose 29 C. Albumin, blood urea nitrogen and creatinine 30 6.2 Hemolysis 31 6.2.1 Rate of hemolysis 31 6.2.2 Factors of hemolysis 32 6.2.3 Effects on blood tests 32 6.3 Lipemia 33 6.3.1 Factors and effects on blood tests 33 Chapter 7 Limitation 35 Chapter 8 Conclusion 36 Tables 37 Figures 44 REFERENCES 104 | - |
dc.language.iso | en | - |
dc.title | 探討犬隻經由留置針抽血的可行性 | zh_TW |
dc.title | Assessing the Reliability of Blood Samples Collected from Peripheral Intravenous Catheters | en |
dc.type | Thesis | - |
dc.date.schoolyear | 111-2 | - |
dc.description.degree | 碩士 | - |
dc.contributor.oralexamcommittee | 李繼忠;廖泰慶;劉品辰 | zh_TW |
dc.contributor.oralexamcommittee | Jih-Jung Lee;Tai-Ching Liao;Pin-Chen Liu | en |
dc.subject.keyword | 靜脈穿刺,靜脈留置針,血液採樣,狗,血液檢查, | zh_TW |
dc.subject.keyword | venipunctures,intravenous catheters,sampling,dogs,blood tests, | en |
dc.relation.page | 112 | - |
dc.identifier.doi | 10.6342/NTU202303593 | - |
dc.rights.note | 未授權 | - |
dc.date.accepted | 2023-08-11 | - |
dc.contributor.author-college | 生物資源暨農學院 | - |
dc.contributor.author-dept | 臨床動物醫學研究所 | - |
顯示於系所單位: | 臨床動物醫學研究所 |
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