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Therefore, in this study, the investigators propose to use a randomized controlled prospective open study on inpatients with difficult blood collection, by comparing the effects of the application of two types of peripheral venous catheters for blood collection via LPC and MC, with a view to improving the success rate of blood collection in difficult peripheral venous blood collection, and providing a theoretical basis for the later application of long peripheral venous catheters and midline catheters; and providing a basis for optimizing the experience of venous blood collection by nurses.
Using block randomization, patients were randomized in 1:1:1 blocks into experimental arm 1(Long peripheral venous catheter), experimental arm 2(midline catheter), and control (short peripheral venous catheter) with a block length of 6. Patients have a total of 27 blocks, import data into SPSS23, randomly group by SPSS, generate random numbers, and group according to the size of random numbers in each unit group, the largest in the group is assigned to the experimental group 1, the middle of the group is assigned to the experimental group 2, and the smallest in the group is assigned to the control group. The experimental group1 used the LPC for blood collection, the experimental group 2 used the MC for blood collection,and the control group used the Short PIVC for blood collection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Midline catheter | Experimental | The test group2 used MC for blood collection. |
|
| Long peripheral venous catheters | Experimental | In the test 1 group, blood was collected using LPC. |
|
| short peripheral venous catheters | Other | In the control group,blood was collected using SPC. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Long peripheral venous catheters for blood collection | Behavioral | used LPC for blood collection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Success rate of first blood collection | Number of successful initial venous blood collection cases as a percentage of the total number of cases in this group | during catheter indwelling,an average of 2 weeks |
| Total success rate of blood collection | Number of patients with successful intravenous blood collection as a proportion of the number of cases in this group | during catheter indwelling,an average of 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Catheter-related complication rate | The proportion of patients with complications as a proportion of the total number of cases | during catheter indwelling,an average of 2 weeks |
| Number of days for catheters to linger |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Linfang Zhao | Sir Run Run Shaw Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Linfang Zhao | Hangzhou | Zhejiang | 310000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28356839 | Background | Lima-Oliveira G, Lippi G, Salvagno GL, Picheth G, Guidi GC. Laboratory Diagnostics and Quality of Blood Collection. J Med Biochem. 2015 Jul;34(3):288-294. doi: 10.2478/jomb-2014-0043. Epub 2015 Jul 14. | |
| Background | HO Guidelines Approved by the Guidelines Review Committee[J]. 2015. | ||
| 27314202 |
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Not possible because of the material and characteristics of the catheter
| Midline catheter for blood collection | Behavioral | used MCs for blood collection |
|
| SPCs for blood collection | Behavioral | used SPCs for blood collection |
|
The number of days between catheter insertion and catheter removal
| during catheter indwelling,an average of 2 weeks |
| Background |
| Tsukuda Y, Funakoshi T, Nasuhara Y, Nagano Y, Shimizu C, Iwasaki N. Venipuncture Nerve Injuries in the Upper Extremity From More Than 1 Million Procedures. J Patient Saf. 2019 Dec;15(4):299-301. doi: 10.1097/PTS.0000000000000264. |
| 31112315 | Background | 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 Oct;28(19-20):3416-3429. doi: 10.1111/jocn.14918. Epub 2019 Jun 10. |
| 33394637 | Background | Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon T, Meyer BM, Nickel B, Rowley S, Sharpe E, Alexander M. Infusion Therapy Standards of Practice, 8th Edition. J Infus Nurs. 2021 Jan-Feb 01;44(1S Suppl 1):S1-S224. doi: 10.1097/NAN.0000000000000396. No abstract available. |
| 24526576 | Background | Wicker S, Stirn AV, Rabenau HF, von Gierke L, Wutzler S, Stephan C. Needlestick injuries: causes, preventability and psychological impact. Infection. 2014 Jun;42(3):549-52. doi: 10.1007/s15010-014-0598-0. Epub 2014 Feb 14. |
| 32741243 | Background | Zhang Y, Zhang S, Chen J, Zhao R. Blood sampling from peripherally inserted central catheter is effective and safe for patients with head and neck cancers. J Vasc Access. 2021 May;22(3):424-431. doi: 10.1177/1129729820943458. Epub 2020 Aug 3. |