Standard venipuncture

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Sections available in full article Introduction, Uses, Requirements, Personnel, Materials required, Sequelae, Reasons for treatment failure, Sources, Publications,
Contributors

Introduction

  • Vital to successful biochemistry and hematology.
  • Good technique essential.
  • Jugular vein preferable  Jugular venipuncture  rapid, unobstructed flow of blood.
  • Peripheral veins, eg cephalic and saphenous, often detrimental   →   slow blood flow   →   sample artifacts (hemolysis and microclots).

Uses

  • Biochemistry/hematology.

Advantages

  • Simple technique (unless difficult animal).

Requirements

Materials required

Minimum consumables

  • Needles: 18-21 gauge/1 inch.
    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

  • 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 red blood cells. Hence remove bung and gently release blood from syringe.
  • Excessive back pressure when withdrawing blood.

Biochemical artifacts

  • Posting samples (time related)
  • Minimize by separating serum/plasma from clot or heparinized samples before sending sample.

Difficulty in extracting sample

  • Obesity  Obesity  .
  • Excess skin folds.
  • Excess back pressure.

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