The Frequency of the Complication of Venipuncture in the Medical Examination—The Difference of the Punctured Venous and the Kind of the Needle—

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  • 健診での採血に伴う合併症頻度についての検討─採血部位および使用針による違い─

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<p> Venipuncture complications happen in medical examinations. To create a safer method of venipuncture, we investigated the incidence rate of complications in 52,830 cases of venipunctures, from patients who visited our medical examination center between April and December 2018. We compared the differences of incident rate among the selected venous and the kinds of needle. The incident rate was 0.17% totally, 0.15% in the cephalic, 0.13% in the medial cubital, and 0.35% in the basilic vein, significantly higher in the basilic compared to the medial cubital (p<0.001) and cephalic veins. Regarding needles, the incidence rate was significantly higher in syringe needles (0.54%), compared with butterfly needles (0.18%, p<0.001) and straight needles (0.12%, p<0.001). Regarding the types of complications, pain was observed most frequently (37.2%), bruising and hematoma 28.7%, vasovagal reaction 24.5%, and numbness 9.6%. The complications of vessel injuries (bruising and hematoma) were observed in more elderly cases compared with nerve injuries (pain and numbness). Vasovagal reaction was higher in younger age groups. Using these results, we determined as follows: avoid the basilic vein and recommend the use of butterfly needles although straight needles could be used in the clearly visible cephalic or medial cubital veins.</p>

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