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Common problems encountered in venipuncture include difficulty locating a suitable vein, which can be due to factors like dehydration or obesity. Hematoma formation may occur if blood leaks into surrounding tissue after the needle is removed. Additionally, the patient may experience anxiety or discomfort during the procedure, and there is a risk of contamination or infection at the puncture site. Lastly, improper technique can lead to complications such as nerve injury or phlebitis.
According to CLSI the tourniquet should not be left on for more than a minute. If a suitable vein has not been found, remove the tourniquet, leave it off for two minutes, then reapply the tourniquet to look for suitable veins and/or perform the venipuncture.
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A 23-gauge needle is typically used for venipuncture when accessing smaller veins, such as those found in pediatric patients or patients with fragile veins. It is also preferred for drawing blood when minimizing trauma is a priority, as it causes less damage to the vessel compared to larger gauge needles. Additionally, a 23-gauge needle may be suitable for specific laboratory tests that require a smaller volume of blood.
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