The venodilation effects of tapping versus massaging for venipuncture

Kae Yasuda, Saki Sato, Kazunori Okada, Rika Yano, Kae Yasuda, Saki Sato, Kazunori Okada, Rika Yano

Abstract

Aim: To compare the effectiveness of tapping and massaging venodilation techniques by evaluating venous cross-sectional area, venous depth, venous palpation score, and questionnaire responses of study participants.

Methods: This study had a quasi-experimental design. Between August 2016 and October 2016, healthy adult volunteers (n = 30, mean ± standard deviation of age: 22.3 ± 2.2 years) were enrolled in this study. Three venodilation techniques were evaluated: the application of a tourniquet (Control Group), the application of a tourniquet and tapping of the participant's forearm (Tapping Group), and the application of a tourniquet and massaging of the participant's forearm (Massage Group).

Results: In all three groups, venous cross-sectional areas increased significantly after the application of the venodilation technique. The change ratio of venous cross-sectional area was significantly larger in the Massage Group than in the Control Group. Additionally, 83.3% of the participants selected massaging as their preferred venodilation technique, stating the technique was comfortable and provided a feeling of relief.

Conclusions: No significant differences were observed between the degrees of venodilation that were achieved using the three investigated venodilation techniques. Nonetheless, massaging was deemed the most effective technique after considering the participants' subjective comments.

Keywords: massaging; tapping; tourniquet; venipuncture; venodilation.

© 2019 Japan Academy of Nursing Science.

References

REFERENCES

    1. Dougherty, L. (2002). Delivery if intravenous therapy. Nursing Standard, 16(16), 45-52. .
    1. Hori, M., Miura, M., Hiromi, A., Harada, C. & Shimada, T. (2009). Morphology of the topographical relations between cutaneous veins and nerves in the human upper extremity. Japanese Journal of Nursing Art and Science, 8(2), 20-28. (in Japanese).
    1. How, C. & Brown, J. (1998). Extravasation of cytotoxic chemotherapy from peripheral veins. European Journal of Oncology Nursing, 2(1), 51-58. .
    1. Ichimura, M., Sasaki, S., Mori, M. & Ogino, T. (2015). Tapping but not massage enhances vasodilation and improves venous palpation of cutaneous veins. Acta Medica Okayama, 69(2), 79-85. .
    1. Kato, A. & Mori, M. (2009a). The effect of tourniquet for venipuncture on overswelling of the vein fasten ratio of tourniquet to upper arm circumference. Japanese Journal of Nursing Art and Science, 8, 10-15. (in Japanese).
    1. Kato, A. & Mori, M. (2009b). The effect of tension of venipuncture tourniquet on overswelling of the vein, and physical factors that influence overswelling. Japanese Journal of Nursing Art and Science, 8(3), 42-47. (in Japanese).
    1. Kindgen-Milles, D. & Arndt, J. O. (1996). Nitric oxide as a chemical link in the generation of pain from veins in humans. Pain, 64, 139-142.
    1. Kuramoto, N., Watanabe, Y. & Shinozaki, E. (2017). Survey of techniques to induce vasodilation performed by clinical nurses during short peripheral catheter placement. Japanese Journal of Nursing Art and Science, 16, 22-35. (in Japanese).
    1. Infusion Nursing Society. (2011). Infusion nursing standards of practice. Journal of Infusion Nurse Society, 34, S65-S74.
    1. Masamoto, T., & Yano, R., (2018). Characteristics of observations and procedures followed by expert nurses for the selection of the intravenous insertion site for a short peripheral catheter. Japanese Journal of Nursing Art and Science, 17, 104-113. . (in Japanese)
    1. Mbamalu, D. & Banerjee, A. (1999). Methods of obtaining peripheral venous access in difficult situations. The Fellowship of Postgraduate Medicine., 75(886), 459-462. .
    1. Mikuni, Y., Chiba, S. & Tonosaki, Y. (2013). Topographical anatomy of superficial veins, cutaneous nerves, and arteries at venipuncture sites in the cubital fossa. Anatomical Science International, 88, 46-57. .
    1. Mori, M., Ichimura, M., Matsumura, Y., Sasaki, S., Murakami, N., Kawasaki, M. et al. (2011). New tourniquet with markers for applying with appropriate strength. Bulletin of Faculty of Health and Welfare Science. Okayama Prefectural University, 18, 29-33. .
    1. Ortega, R., Sekhar, P., Song, M., Hansen, C. J. & Peterson, L. (2008). Videos in clinical medicine. Peripheral intravenous cannulation. The New England Journal of Medicine, 359, e26. .
    1. Roberge, R. J. (2004). Venodilatation techniques to enhance venepuncture and intravenous cannulation. The Journal of Emergency Medicine, 27, 69-73. .
    1. Sabri, A., Szalas, J., Holmes, K. S., Labib, L. & Mussivand, T. (2013). Failed attempts and improvement strategies in peripheral intravenous catheterization. Bio-Medical Materials and Engineering, 23, 93-108. .
    1. Sasaki, S., Ichimura, M., Murakami, N., Matsumura, Y., Mori, M. & Ogino, T. (2014). Effect of hot compress on superficial vein of forearm for venipuncture. Japanese Journal of Nursing Art and Science, 12, 14-23. (in Japanese).
    1. Sasaki, S., Murakami, N., Matsumura, Y., Ichimura, M. & Mori, M. (2012). Relationship between tourniquet pressure and a cross-section area of superficial vein of forearm. Acta Medica Okayama, 66(1), 67-71. .
    1. Sumitani, S. & Watanabe, Y. (2010). Survey of intravenous placement skills with the peripheral-short catheter: Comparison of the practice by new nurse midcareer nurse, and experienced nurse. Japan Academy of Nursing Science., 30, 61-69. (in Japanese).
    1. Tokizawa, Y., Tsujimoto, T. & Inoue, T. (2017). Duration of venodilation for peripheral intravenous cannulation, as induced by a thermal stimulus on the forearm. Biological Research For Nursing, 19, 206-212. .
    1. Wasner, G., Baron, R. & Janig, W. (1999). Dynamic mechanical allodynia in humans is not mediated by a central presynaptic interaction of a beta-mechanoreceptive and nociceptive C-afferents. Pain, 79, 113-119.
    1. World Health Organization. (2010). WHO guidelines on drawing blood: Best practices in phlebotomy. Retrieved from
    1. Yamagami, Y., Tomita, K., Tsujimoto, T. & Inoue, T. (2017). Tourniquet application after local forearm warming to improve venodilation for peripheral intravenous cannulation in young and middle-aged adults: A single-blind prospective randomized controlled trial. International Journal of Nursing Studies, 72, 1-7. .

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