Tuesday, May 16, 2017

SYRINGE VS. EVACUATED TUBE SYSTEM: Pros and Cons

Just before I get blood from my patients, I always ask myself on what method should I use to ensure a successful venipuncture. It's after vein assessment that I decide what to use and based from my experience, I've come to realize that both the syringe method and ETS (evacuated tube system) have their own advantages and drawbacks. Check this out!

I've always loved using syringes. I feel safe when using them. This is when I hear compliments such as "It's not painful' or 'I didn't feel anything..Thank you'..

SYRINGE
Registered trademark of Terumo Corporation
  1. PROS
  • with backflow
  • less painful
  • you can change the needle gauge for smaller/thinner veins
  • can be maneuvered
    2. CONS
  • limited amount of blood 
  • time consuming in transfering blood from one tube to another
  • 10cc plungers are hard to pull and agent for short draws
  • needle pricks
  • cause for platelet clumps if blood is not transferred immediately
On the other hand, when times are busy, I use ETS! I realize you have to be sure when doing ETS method or else YOU'LL BE SORRY it didn't turn out so well.

EVACUATED TUBE SYSTEM
Registered trademark of Becton-Dickinson Company
  1. PROS
  • faster way of collecting blood
  • with safety feature included
  • recommended for multi-sample draws
  • suitable for tests requiring closed system method of venipuncture (eg Ammonia, Carbon dioxide)
  • reduces the risk of hemolysis
    2. CONS
  • proper order of draw should be strictly observed
  • not recommended for newborn or pedia patients
  • not suitable for easily collapsed veins
  • might not get the appropriate amount if vacuum tubes are expired or opened already
  • would mostly leave hematoma on the skin
It's all in your hands what to use during your shift but one must consider convenience both for you and to the patient, It's always been like that from the start. So think and use these weapons wisely :-)

3 comments:

Anonymous said...

This is a great article. I would like to request, for the sake of accuracy, that you either remove the reference to Vacutainer, which is a registered trademark of Becton Dickinson, and replace it with the ETS terminology used elsewhere in your article. OR, if you would like to reference Vacutainer branded materials specifically, please add the (TM)symbol, or accredit the term to Becton Dickinson (BD).

Anonymous said...

May I ask for any references for this?

Anonymous said...

Good morning, I just want to ask what kind of method do you usually or more commonly use in the clinical setting? Do you prefer ETS or syringe?