Cephalic venipuncture

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Sections available in full article Introduction, Uses, Alternative techniques, Requirements, Personnel, Materials required, Aftercare, Immediate Aftercare, Sequelae, Reasons for treatment failure, Sources, Vetstream contributor(s),
Contributors Dr Sheilah Robertson BVMS(Hons) PhD DipACVA DipECVA MRCVS

Introduction

  • Good sample collection technique is vital to obtain a blood sample of adequate quality for analysis.
  • Peripheral veins, eg cephalic and saphenous, often detrimental → slow blood flow → sample artefacts (hemolysis and microclots.)

Uses

  • Collection of blood for analysis.
  • Administration of intravenous drugs +/- fluids Fluid therapy.

Advantages

  • Simple technique (unless difficult animal).
  • Straightforward technique for intravenous drug administration.

Disadvantages

  • No real advantages over jugular venipuncture Jugular venipuncture for blood collection.

Requirements

Materials required

Minimum consumables

  • Needles: 18-21 gauge/1 in (varies with breed and personal preference).
    Either Syringe: 2.5-20 ml.
    Or Evacuated tubes: 2-3 ml.
  • For sample tube preference see Blood sample tube requirements table 01.

Sequelae

Reasons for treatment failure

  • Poor technique may preclude venipuncture.
  • Repeated attempts at venipuncture may damage vein sufficiently to prevent further sampling.
  • Repeated entry into same site with same needle → introduce tissue proteins → abnormal results.
Hemolysis
  • Use of too fine a needle.
  • Failure to remove needle from syringe prior to placing blood in tube.
  • Needle pushed directly through evacuated tube top. Fluid flow under pressure inevitably damages the RBCs. Hence remove bung and gently release blood from syringe.
  • Excessive back pressure when withdrawing blood.
Biochemical artefacts
  • Posting samples (time related).
  • Minimize by separating serum/plasma from clot or heparinized samples before sending sample.
Difficulty in extracting sample
  • Obesity.
  • Excess skin folds, eg Shar Pei dogs Shar Pei.
  • Vacutainer in small dog → collapsed vein.
  • Excess back pressure.
  • In chondrodystrophic animals with deformed forelimbs it may be difficult to identify vein.
    An ear vein is very useful in these dogs

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