Determining optimal waste volume from an intravenous catheter

Rachel B Baker1, Suzanne S Summer, Michelle Lawrence

  • 1Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. rachel.baker@cchmc.org

Insights

Minimizing blood waste from intravenous (IV) catheters is crucial. This study found that 1 mL of waste is sufficient to obtain an undiluted blood sample, preventing unnecessary blood draw.

Area of Science:

  • Clinical Laboratory Science
  • Medical Device Technology

Background:

  • Blood sample collection via intravenous (IV) catheters requires discarding an initial volume, termed 'waste', to eliminate contaminants like saline or heparin.
  • Determining the optimal waste volume is essential to prevent unnecessary blood loss and ensure sample integrity.

Purpose of the Study:

  • To ascertain the minimum waste volume required from an IV catheter to obtain an undiluted blood sample.
  • To establish evidence-based guidelines for IV blood draw waste volume.

Main Methods:

  • A repeated-measures design was employed with 60 healthy adult participants.
  • An IV catheter was inserted, and blood samples were collected at baseline and after discarding incremental waste volumes (0.5 mL to 3 mL).
  • A random effects mixed model analysis was utilized to identify the point at which the sample became undiluted.

Main Results:

  • The study identified 1 mL as the minimum waste volume necessary to achieve an undiluted blood sample.
  • This finding indicates a stabilizing point for sample purity after discarding 1 mL of initial draw.

Conclusions:

  • A waste volume of 1 mL is sufficient when drawing blood from an IV catheter to ensure sample accuracy.
  • Implementing this 1 mL waste guideline can reduce unnecessary blood discard in clinical practice.

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