The Effect of a New Ligation and Venipuncture Method on Vena Basilica Vessel

Objective. This study evaluated the impact of a novel venipuncture method on vascular parameters of vena basilica to provide a new technical option for the clinical management of difficult venipuncture. Methods. 32 volunteers examined by ultrasound at the Medical Imaging Center of The First People’s...

Full description

Saved in:
Bibliographic Details
Main Authors: Yuanhong Mao, Xiaomei Huang, Hong Yang, Shu Zhou, Aihong Yuan, Gang Lin, Guiling Geng
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2022/9384983
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565341329293312
author Yuanhong Mao
Xiaomei Huang
Hong Yang
Shu Zhou
Aihong Yuan
Gang Lin
Guiling Geng
author_facet Yuanhong Mao
Xiaomei Huang
Hong Yang
Shu Zhou
Aihong Yuan
Gang Lin
Guiling Geng
author_sort Yuanhong Mao
collection DOAJ
description Objective. This study evaluated the impact of a novel venipuncture method on vascular parameters of vena basilica to provide a new technical option for the clinical management of difficult venipuncture. Methods. 32 volunteers examined by ultrasound at the Medical Imaging Center of The First People’s Hospital of Nantong, Jiangsu province, from February 2020 to April 2020 were randomly selected. One hand of each patient was ligated with the traditional single tourniquet and the new ligation method for 20 seconds. Then, the distance between the left or right vena basilica and the skin and the diameter of blood vessels were measured by ultrasound. 98 patients with peripheral venipuncture difficulty who were examined by ultrasound of a third-grade hospital from April 2019 to March 2020 were selected and randomly divided into control group (n=49) and experimental group (n=49). The traditional method was used in the control group, and the new peripheral venipuncture was used in the experimental group. The success rate of single puncture, preparation time before puncture, time required for puncture operation, pain reaction during puncture, intravascular congestion after puncture, subcutaneous tissue injury, and vascular reuse rate after puncture were compared between the two methods. Results. The new ligation and puncture method increased the diameter of peripheral superficial vein vessels by 0.51±0.04 mm, and the change of vena basilica diameter was not significantly associated with gender and age of patient. The success rate of single puncture and the vascular reuse rate were significantly higher in the experimental group than in the control group, while the preparation time and venipuncture time, as well as the patient’s pain response, were significantly lower in the experimental group compared to the control group, and the intravascular congestion and subcutaneous tissue injury were lower. In addition, the mean satisfaction score of patients in the experimental group was higher than that of the control group. Conclusion. The new ligation and puncture method was an effective vena basilica dilation technique for filling the peripheral superficial veins, improving puncture success rate of peripheral difficult vein, and reducing patient pain, which was worth popularizing and applying in clinic.
format Article
id doaj-art-f233632c4a6f45f89f4797d0581d58d1
institution Kabale University
issn 1754-2103
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Applied Bionics and Biomechanics
spelling doaj-art-f233632c4a6f45f89f4797d0581d58d12025-02-03T01:08:45ZengWileyApplied Bionics and Biomechanics1754-21032022-01-01202210.1155/2022/9384983The Effect of a New Ligation and Venipuncture Method on Vena Basilica VesselYuanhong Mao0Xiaomei Huang1Hong Yang2Shu Zhou3Aihong Yuan4Gang Lin5Guiling Geng6Medical Imaging DepartmentRadiotherapy DepartmentMedical Imaging DepartmentMedical Imaging DepartmentMedical Imaging DepartmentInternal Medicine-Cardiovascular DepartmentSchool of NursingObjective. This study evaluated the impact of a novel venipuncture method on vascular parameters of vena basilica to provide a new technical option for the clinical management of difficult venipuncture. Methods. 32 volunteers examined by ultrasound at the Medical Imaging Center of The First People’s Hospital of Nantong, Jiangsu province, from February 2020 to April 2020 were randomly selected. One hand of each patient was ligated with the traditional single tourniquet and the new ligation method for 20 seconds. Then, the distance between the left or right vena basilica and the skin and the diameter of blood vessels were measured by ultrasound. 98 patients with peripheral venipuncture difficulty who were examined by ultrasound of a third-grade hospital from April 2019 to March 2020 were selected and randomly divided into control group (n=49) and experimental group (n=49). The traditional method was used in the control group, and the new peripheral venipuncture was used in the experimental group. The success rate of single puncture, preparation time before puncture, time required for puncture operation, pain reaction during puncture, intravascular congestion after puncture, subcutaneous tissue injury, and vascular reuse rate after puncture were compared between the two methods. Results. The new ligation and puncture method increased the diameter of peripheral superficial vein vessels by 0.51±0.04 mm, and the change of vena basilica diameter was not significantly associated with gender and age of patient. The success rate of single puncture and the vascular reuse rate were significantly higher in the experimental group than in the control group, while the preparation time and venipuncture time, as well as the patient’s pain response, were significantly lower in the experimental group compared to the control group, and the intravascular congestion and subcutaneous tissue injury were lower. In addition, the mean satisfaction score of patients in the experimental group was higher than that of the control group. Conclusion. The new ligation and puncture method was an effective vena basilica dilation technique for filling the peripheral superficial veins, improving puncture success rate of peripheral difficult vein, and reducing patient pain, which was worth popularizing and applying in clinic.http://dx.doi.org/10.1155/2022/9384983
spellingShingle Yuanhong Mao
Xiaomei Huang
Hong Yang
Shu Zhou
Aihong Yuan
Gang Lin
Guiling Geng
The Effect of a New Ligation and Venipuncture Method on Vena Basilica Vessel
Applied Bionics and Biomechanics
title The Effect of a New Ligation and Venipuncture Method on Vena Basilica Vessel
title_full The Effect of a New Ligation and Venipuncture Method on Vena Basilica Vessel
title_fullStr The Effect of a New Ligation and Venipuncture Method on Vena Basilica Vessel
title_full_unstemmed The Effect of a New Ligation and Venipuncture Method on Vena Basilica Vessel
title_short The Effect of a New Ligation and Venipuncture Method on Vena Basilica Vessel
title_sort effect of a new ligation and venipuncture method on vena basilica vessel
url http://dx.doi.org/10.1155/2022/9384983
work_keys_str_mv AT yuanhongmao theeffectofanewligationandvenipuncturemethodonvenabasilicavessel
AT xiaomeihuang theeffectofanewligationandvenipuncturemethodonvenabasilicavessel
AT hongyang theeffectofanewligationandvenipuncturemethodonvenabasilicavessel
AT shuzhou theeffectofanewligationandvenipuncturemethodonvenabasilicavessel
AT aihongyuan theeffectofanewligationandvenipuncturemethodonvenabasilicavessel
AT ganglin theeffectofanewligationandvenipuncturemethodonvenabasilicavessel
AT guilinggeng theeffectofanewligationandvenipuncturemethodonvenabasilicavessel
AT yuanhongmao effectofanewligationandvenipuncturemethodonvenabasilicavessel
AT xiaomeihuang effectofanewligationandvenipuncturemethodonvenabasilicavessel
AT hongyang effectofanewligationandvenipuncturemethodonvenabasilicavessel
AT shuzhou effectofanewligationandvenipuncturemethodonvenabasilicavessel
AT aihongyuan effectofanewligationandvenipuncturemethodonvenabasilicavessel
AT ganglin effectofanewligationandvenipuncturemethodonvenabasilicavessel
AT guilinggeng effectofanewligationandvenipuncturemethodonvenabasilicavessel