Clinical Chemistry AACC Online Job Center
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Clinical Chemistry 34: 1890-1894, 1988;
This Article
Right arrow Full Text (PDF)
Right arrow Submit an electronic Letter to
the Editor about this paper
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Meites, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Meites, S.

Clinical Chemistry, Vol 34, 1890-1894, Copyright © 1988 by American Association for Clinical Chemistry

Skin-puncture and blood-collecting technique for infants: update and problems

S Meites
Clinical Chemistry Laboratory, Children's Hospital, Columbus, OH 43205.

This is updated information on acceptable practice in skin puncture and blood collection in infants, as well as on the devices used, with the additional aim of emphasizing major problem areas and some tentative solutions. Consensus standards for skin puncture have little experimental support, and evade the hard fact that studies are needed to clarify optimum sites for puncture and depth and width of lancets, and to assess the effects of compression and skin resistance in the puncturing process. Preliminary data revealed that the puncturing depth of 2.4 mm recommended for the newborn is excessive. In four of 14 newborns at necropsy, the distance from posterior planar skin surface to underlying bone ranged between 2.0 and 2.2 mm. An experimental lancet, with a 1.8-mm tip length and a diameter of 0.79 mm yielded customary blood volumes from newborns in three of the four pediatric centers where it was tested. Lack of success with the lancet was attributed to inexperienced phlebotomists, not to the lancet's decreased size. Also reviewed are problems with common devices used, and the need for examining the "economy" of blood collection.


The following articles in journals at HighWire Press have cited this article:


Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
Z Hassan and M Shah
Scald injury from the Guthrie test: should the heel be warmed?
Arch. Dis. Child. Fetal Neonatal Ed., November 1, 2005; 90(6): F533 - F534.
[Abstract] [Full Text] [PDF]

Home page
 J. Nutr.Home page
A. R. Valentine and S. A. Tanumihardjo
Adjustments to the Modified Relative Dose Response (MRDR) Test for Assessment of Vitamin A Status Minimize the Blood Volume Used in Piglets
J. Nutr., May 1, 2004; 134(5): 1186 - 1192.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
H Vertanen, V Fellman, M Brommels, and L Viinikka
An automatic incision device for obtaining blood samples from the heels of preterm infants causes less damage than a conventional manual lancet
Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2001; 84(1): 53F - 55.
[Abstract] [Full Text]

Home page
 Clin. Chem.Home page
S. Meites
History of Clinical Chemistry in a Children's Hospital (1914-1964)
Clin. Chem., July 1, 2000; 46(7): 1009 - 1013.
[Abstract] [Full Text] [PDF]

Home page
 J Child Health CareHome page
L. Caws
Review : Venepuncture and cannulation on infants and children
J Child Health Care, July 1, 1999; 3(2): 11 - 16.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1988 by the American Association for Clinical Chemistry.