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. 2016 Feb;23(2):204-7.
doi: 10.1111/acem.12858. Epub 2016 Jan 14.

Generalizability and Effectiveness of Butterfly Phlebotomy in Reducing Hemolysis

Douglas P Barnaby  1 , Andrew Wollowitz  1 , Deborah White  1 , Scott Pearlman  1 , Michelle Davitt  1 , Laura Holihan  2 , Polly Bijur  1 , E John Gallagher  1
Affiliations
Free article

Generalizability and Effectiveness of Butterfly Phlebotomy in Reducing Hemolysis

Douglas P Barnaby et al. Acad Emerg Med. 2016 Feb.
Free article

Abstract

Objectives: The objective was to test the hypothesis that exclusive use of butterfly needles for phlebotomy, compared with sample collection via intravenous (IV) catheter, will reduce rates of sample hemolysis.

Methods: This was an observational study of hemolysis rates before and after implementation of a "butterfly-only" phlebotomy protocol. Weekly hemolysis rates, generated by the central laboratory, were collected and the proportion of hemolyzed specimens before and after protocol implementation were compared.

Results: Prior to institution of the butterfly-only protocol, 11.3% of specimens sent from the emergency department were reported as hemolyzed. During the postintervention period, only 4.3% of specimens were hemolyzed for a proportionate decrease of 62% and an absolute decrease of 7.0% (95% confidence interval = 6.6% to 7.3%).

Conclusions: Use of a butterfly-only phlebotomy protocol cuts hemolysis rates by more than half when compared with IV catheter phlebotomy.

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