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phlebotomy

Withdrawing of blood from an individual. Indications: 1) laboratory analysis 2) obtaining blood products 3) excessive hemoglobin/hematocrit with resultant hyperviscosity Procedure: - adequate preparation of the skin - venous blood from peripheral vein - arterial blood - capillary blood from fingerstick - push-button device collects 100 uL of blood from upper arm - device billed as "virtually painless" - FDA cleared for use with HgbA1c measurement [3] Complications: - pain, discomfort - bleeding - infection - hematoma - anemia from excessive diagnostic phlebotomy [1,2]

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blood

General

clinical procedure

References

  1. Salisbury AC et al Diagnostic Blood Loss From Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction Arch Intern Med. Published online August 8, 2011 PMID: 21824940 http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.361 - Rennke S and Fang MC Hazards of Hospitalization Comment on "Diagnostic Blood Loss From Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction" Arch Intern Med. Published online August 8, 2011 PMID: 21824939 http://archinte.ama-assn.org/cgi/content/full/archinternmed.2011.335
  2. Koch CG et al Contemporary Bloodletting in Cardiac Surgical Care. Annals of Thoracic Surgery. Jan 9, 2015 PMID: 25583464 http://www.annalsthoracicsurgery.org/article/S0003-4975%2814%2901951-1/abstract
  3. Monaco K FDA Clears 'Painless' Blood Draw. MedPage Today. Feb 27, 2017 http://www.medpagetoday.com/Endocrinology/Diabetes/63431