Evaluation of an arterial blood sampling device and its function in accelerating and facilitating blood sampling

authors:

avatar Ghasem Soltani 1 , * , avatar Arash Peivandi 2 , avatar Maliheh Ziaee ORCID 3 , avatar Alireza Hoseini 4 , avatar Mahmood Khorsand 5 , avatar Farzaneh Farrokhseir 6 , avatar seyed javad purafzali firuzabadi ORCID 7

MD. Professor of Anesthesiology, Lung Diseases Research Center , Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,
MD. Associate Prof. of Anesthesiology, Lung Diseases Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,
MD. Assistant Professor of Community Medicine, Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad,
MD. Internist , Lung Diseases Research Center Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,
MD. Fellowship of Critical care Medicine, Student Research Committee, Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,
MD. Resident of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
MD. Resident of Anesthesiology and Critical Care, Student Research Committee, Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,
Journal of Cellular & Molecular Anesthesia: Vol.4, issue 2; e149578
article type: Original Articles
DOI: https://doi.org/10.22037/jcma.v4i2.26376

how to cite: Soltani G, Peivandi A, Ziaee M, Hoseini A, Khorsand M, et al. Evaluation of an arterial blood sampling device and its function in accelerating and facilitating blood sampling. J Cell Mol Anesth. 2019;4(2):e149578. https://doi.org/10.22037/jcma.v4i2.26376.

Abstract

Background: Arterial blood sampling is among the basic standards in critically ill patients. The aim of this study was to examine an inventive sampling device in facilitating arterial blood sampling in comparison to the conventional method using an insulin syringe.Methods and materials: This randomized interventional clinical trial was performed on 100 patients admitted to Qaem and Imam Reza Hospitals in Mashhad in 2016 for whom two arterial blood gas (ABG) samples were indicated. The patients were randomly selected by the visiting operator on a daily basis. The operator visited the hospital on certain days and took two samples from the selected patients.Results: The patients' mean age was 45.31?16.15 years. In the insulin syringe group, venous blood gas sampling was in 24% and arterial sample in 76%. In the designed device group, same figures were 12.1% and 87.9%, respectively. Sampling score (p=0.01), unsuccessful attempts with and without needle removal from the skin (p=0.01), and need for vertical and horizontal needle displacement for sampling (p=0.01) were significantly differed between the two groups. Localized swelling score and its size, localized bruising, palpable arterial spasm and the spasm duration was significantly less for the inventive device (p<0.05). Satisfaction score of patients and operator were significantly higher in the device group (p=0.01).Conclusion: The study device had desirable function in facilitating and accelerating arterial blood sampling. Its application can be further approved by future studies.Keywords: Arterial blood sampling, Facilitated sampling, Accelerated sampling, Intensive Care Unit