Evaluation of an improved small gauge needle for venipuncture in children

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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)” Padoan et al (2019).

Abstract:

BACKGROUND: 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).

MATERIALS AND METHODS: 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.

RESULTS: 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). CONCLUSIONS: 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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Reference:

Padoan, A., Sirini, S., Mazzone, R., Mesiti, C., Grillo, C., Meyer, B. and Plebani, M. (2019) 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. Clinica Chimica Acta. October 31st. doi: 10.1016/j.cca.2019.10.019. .

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