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12 wrz 2016 · Anesthesia for heel stick in infants can involve oral sucrose, ambient light and noise reduction, and swaddling. A Cochrane review that included 55 studies (6273 infants) found moderate‐certainty...
A heel stick or Arm venipuncture (Use caution when using tourniquet to avoid injury and/or nerve damage to site) may be used according to the infant’s size. (Do not obtain the blood from a finger on an infant under 1 year of age)
A step-by-step guide to capillary blood sampling is outlined along with evidence-based practice incorporating neonatal-appropriate disinfection and nonpharmacological analgesia that contribute to improved infant safety and comfort during and after the procedure.
Justin in the house! Learn how to: warm the heel, identify your landmarks, control your blood drop, let the heel refill, and allow gravity to help. Then wat...
Automated self-shielding lancets are preferred in neonates (Table 33–1); sterile manual lancets are not recommended but may be used in some units if automated lancets are not available (sizes: 2 mm for <1500 g and 4 mm for >1500 g). Capillary tube (for rapid hematocrit and bilirubin tests) or larger BD Microtainer™ collection tubes (if more ...
Principle: The heel is the recommended site for collection of skin puncture specimens on infants less than 1 year old or not walking. However, it is important that the puncture be performed in an area of the heel where there is little risk of puncturing the bone.
Adequate skin perfusion is necessary to obtain an appropriate capillary blood sample. Heel sticks may be performed on infants up to 18 months of age. Finger sticks are recommended in children over 18 months of age who require a specimen of less than 2.5 mL. Avoid calluses, scars or lesions.
