Blood sample collection methods
There are several factors to consider when determining the appropriate blood collection volume
 and technique. These include:
       The species to be sampled
       The size of the animal to be sampled
       The age and health of the animal to be sampled
       The minimum volume required for analysis
       The frequency of sampling necessary
       The training and experience of the personnel performing the collection
       The suitability of sedation and/or anesthesia
 The sample volume selected should always be the
 minimum volume of blood which satisfies
 experimental   needs.   Appropriate    restraint
 (physical or chemical) should be employed to
 minimize risk of injury to the animal and
 personnel.
     Restrain animal in squeeze chute,
      halter and secure lead to the stanchion
      with a quick-release knot (Figure 1)
      with head elevated and jugular vein
      exposed.
     Clip (optional) and swipe with antiseptic gauze to remove superficial dirt and debris.
      This may also assist in visualizing raised vein.
     Occlude jugular vein by applying pressure at the base of the jugular groove and visualize
      raised vein (Figure 2).
     With bevel up, insert needle firmly into skin and into vein at 20° angle (Figure 2).
     If using vacutainer, once needle inserted, stabilize needle and push the vacutainer tube
      into hub. If you have hit the vein, blood will flow freely into tube. Multiple tubes can be
      filled by removing filled tube and replacing with fresh tube.
           o NOTE: Do not pull needle out of vein with vacutainer tube still attached as this
              will release vacuum in vacutainer.
     If you have missed the vein, carefully reposition needle, with vacutainer attached, until
      vessel penetrated. Vessel is fairly deep and may roll away from needle. Typically no
    more than two to three attempts should be
    made at a time to minimize distress to the
    animal and potential damage to the vein.
    Alternately, you can use needle and syringe.
    Break the seal on the syringe by gently
    pulling back before using. Clear air, and with
    needle attached to syringe, insert firmly
    needle at 20° angle, and aspirate syringe to
    confirm insertion and collect blood (Figure
    3).
   Once collection complete, remove vacutainer
    tube, then, applying pressure over injection
    site, remove needle.
   Dispose of needle in approved Sharps
    container.
    In order to ensure adequate hemostasis, apply pressure with gauze for 30 to 60 seconds.
   Serial samples can be taken by alternating sides, and by moving insertion sites cranially,
    as long as there is no hematoma formation.
Blood can be collected via the coccygeal vein (Figure 4)
 Restrain animal.
 Raise the tail vertically until it is horizontal to the ground.
 Locate the groove lying in the ventral midline of the tail.
 Swab the site with antiseptic.
 Midway along the body of a coccygeal vertebra, insert the needle perpendicularly to the
   surface of the skin to a depth of a few millimeters.
 Withdraw blood sample and remove needle.
 Dispose of needle in approved sharps container.
 In order to ensure adequate hemostasis, apply pressure with gauze for 30 to 60 seconds
Different types of vacutainer for blood collection
     for preparation of serum vacutainer without anticoagulant (having red cap)
     for hematological tests vacutainer with anticoagulant EDTA (having violet cap)
     for biochemical examination vacutainer tube with heparin (having green cap)
    Animal species             Blood collection site                 Needle size(gauge)
    Horse              Jugular vein                              18-19 gauge
    Cattle and         Jugular vein                              18-19 gauge
    buffalo
       Sheep and goat    Jugular vein                            20 gauge
       Swine             Ear vein or anterior venacava           20 gauge
       Poultry           Wing vein or jugular vein               21-22 gauge
       Dog               Cephalic or cephanous vein              20-22 gauge
       Cat               Cephalic or cephanous vein              20-22 gauge
       Rabbit            Ear vein                                22-23 gauge
       Mice              Orbital sinus                           Microhematocrit tube
A. Precautions while taking and handling of blood samples
   Precaution while taking blood sample:
          Be sure to be well informed about the patient.
          Know the test required before commencing with the venipuncture.
          The site to be puncture should be free from hematoma and edema.
          Proper sterilization procedures should be done before puncturing the vein.
          Do not puncture in the same vein that an IV fluid is inserted as the components of
           the iv fluid would contaminate your specimen.
         Check that syringe is not clogged by pulling and pushing the plunger. Check the
           needle of any factory defect. Do not; however, open the pack, not until ready
           puncture as this may lead to contaminations.
         Allow the animal to sit down or lie down in a comfortable position.
         Scrub with the antiseptics like spirit etc.
         Allow the alcohol to dry before puncturing. Inserting the needle while the wet
           would be painful.
         The bevel should be facing upwards to allow the smooth flow of blood into the
           barrel of the syringe.
         When blood starts to flow into the barrel, the plunger should not be pulled fast to
           avoid clotting before the blood could be transferred to an appropriate container.
         Transfer the blood immediately after extraction to an anti-coagulated tube for
           plasma and to a plain tube for serum. Vacutainer tubes can be used to facilitate
           extraction and preservation of blood.
Potential Adverse Effects, Mitigation, or Treatmen
        Hematoma or thrombus
           o Enter vessel at an angle of 30 degrees or less
           o Use a gauge of needle smaller than the vein
             o Apply pressure until bleeding has stopped (1+ minutes)
        Pain at blood collection site
             o Use a needle of smaller gauge than the vein
             o Practice on vein models prior to live animal
        Infection at blood collection site
             o Use sterile single-use devices only
             o Clean work surfaces with disinfectant
             o Wear gloves, wash hands
             o Contact a qualified veterinarian for treatment recommendations if any of the
                 following are noted.
                      Heat, pain, swelling first noted at the insertion site of the blood draw,
                         purulent material draining from the insertion site.
                      Induration (hardening) of the vessel c. Pyrexia, local or systemic
                         infections, septic shock.
B. Total count of RBC
Materials required
 Neubauer’s slide counting chamber along
  with cover slip.
 RBC diluting pipette (with red grain)
 RBC diluting fluid (Haems fluid) or (Decies
  fluid)
 Watch glass or small Petri dish
 Microscope
                                                     Fig: neubauer’s slide (www.wikipedia.org)
Procedure for counting RBC
 Clean the counting chamber and cover slip with soft tissue paper and cover the rule part of
  neubauers chamber with cover slip.
 Transfer the diluting fluid on watch glass or Petridis.
 Mix well the blood on blood vial.
 Suck the blood up to 0.5 mark of RBC diluting
  pipette. Clean the tip of the pipette with cotton.
 Suck the diluting fluid up to 101 mark of the
  diluting pipette.
 Mix well the blood and diluting fluid inside the
  diluting pipette by keeping it on the palm.
 Discard 2-3 drops of solution.
 Keep 1 drop of the mixed solution on the side of
  the cover slip (charging)
 The fluid get well throughout the counting area
  of neubauers chamber.
 If air bubbles are formed remove the counting
  chamber and cover slip and repeat the same Fig: neubauer’s counting chamber (source: www.wikipedia.org)
  process again.
 Leave the solution for 2 minutes.
 At first observe the diluted blood on 10x on
  microscope and after that observe on 40x.
 Count the RBC present on 5 medium squares (4 of 4 corners and one on the middle)
 While counting the RBC touching the right side and down side should not be counted.
 Total RBC counted should be multiplied by 10000 and is expressed on cubic ml.
CALCULATION
   R= total RBC counted on 5 secondary square chamber
   Total RBC present on 1 cu mm or 1 microlitre of blood= R*10,000
C. Total count of WBC
   Materials required:
          WBC diluting pipette (containing white grain inside)
          Counting chamber/ neubauers chamber
          Cover slip
          Microscope
          WBC diluting fluid
   Procedure for counting WBC
    Cover the rule part of counting chamber with cover slip.
    Mix the blood with anticoagulant properly and suck the blood up to 0.5 mark of WBC
     diluting pipette.
    Discard the extra blood above 0.5 mark
    Suck WBC diluting fluid up to 11 marks.
    Mix well the blood and WBC diluting fluid by keeping the WBC diluting pipette within
     2 palms.
    Discard 2-3 drops of fluid and place one small drop of fluid at the edge of cover slip and
     let the fluid to spread throughout the rule area and leave it for 1 minute.
    With the help of microscope observe it under 10 x power. The condenser of microscope
     should be kept down so that the cells can be seen clearly.
    Count the WBC on 4 large squares present on 4 corners while counting WBC never
     count the WBC on the down and right side.
   Calculation
   W= total number of WBC counted on 4 large squares.
   WBC present on 1 cu mm or 1 microlitre blood =
   W*50
D. Differential count of WBC
Principal of differential leucocyte count (DLC):
The polychromic staining solution (Leishman stain) contains methylene blue and eosine. These
basic and acidic dyes induces multiple colours when applied to cells. Methanol acts a fixative
and also as a solvent.
Specimen for DLC:
     EDTA anti-coagulated venous blood or free flowing capillary blood.
Requirements for DLC:
     Microscope slide and a glass spreader slide
     Cedar wood oil (immersion)
     Leishman stain/ Giemsa stain
     Buffer solution (PH : 7.0)
     Staining rack
     Cotton and tissue paper
     Pipette
     Timer
     Cell counter
Before performing the differential leukocyte count, a thin smear of blood should be made on
glass slide. The smear should be thin, leveled and should not contain any bubbles.
             Let the smear dry on air.
             Number the smear for identification
             Fix the smear by dipping on methanol solution for 5 minutes.
             Dip the smear on the giemsa stain solution of 1:10 (1 part of giemsa stain mixed
                with 10 parts of water) for 30 minutes.
             Now wash the slide with tap water let it dry.
             Observe under oil immersion lens (100x)
             Count at least 100 blood cells.
             The different type of cells visible by this process is eosinophils, basophils,
                neutrophils, monocytes, lymphocytes.
             The number of cells is denoted in percentage.
E. Collection of blood serum
 For the collection of serum the blood should be collected on the vacutainer with red cover.
  The tube should be Kept on the room temperature for 1-2 hours on inclined position. The
  blood should clot. After the blood clots the tube should be kept on the refrigerator
  overnight for clot retraction which makes easier for the collection of serum.
 On the next day the tube should be taken out from the refrigerator. With the help
  Pasteur pipette the serum should be transferred to the serum vial.
 The tube should be centrifuged for the further collection of serum. The colour of serum
  is slightly yellow.
 The vials containing serum should be kept on refrigerator. For longer storage period
  the serum may be stored on dip fridge.
F. Hemoglobin estimation
   There are various methods that can be used to estimate the
   hemoglobin of an animal in a laboratory. Some of the widely
   used methods are:
       a. Method based on the development of colour:
        Sahli’s or acid hematin method (commonly used)
        Cyanmethemoglobin method (commonly used)
        Oxyhemoglobin method
        Alkaline hematin method
       b. Measurement of oxygen combining capacity
       c. Measurement of iron content
   Sahli’s or acid hematin method:
   Principal: Converting Hb into acid hematin has a dark brown colour. The solution developed
   is diluted with water and the colour developed after dilution is mathched with colour of the
   standard tubes.
   Material required:
        Sahli’s haemoglobinometer
        Pasteur pipettes ( one for Hcl and one for distilled water)
        Stirrer
        0.1 N- Hydrochloric acid
        Distilled water
        Comparision tube
        Pipette ( haemoglobin pipette with rubber tubing and mouth piece)
   Procedures:
       N/10 hydrochloric acid is put in the hemoglobinometer up to the mark 20 below.
       Draw fresh or oxalated blood up to 20 c mm. mark of the hemoglobinometer pipette.
       Immediately mix it with N/10 hydrochloric acid of the hemoglobinometer.
       Mix it properly and allow it to stand in the comparator for 10 minutes for
         the conversion of hemoglobin to acid haematin.
       Now add distilled water drop by drop with the help of dropper and mix with
         stirring rod till the color matches well the fixed colour in the comparator.
       The mark tallying with the upper level of diluted acid haematin denotes the level
         of hemoglobin. This is expressed in terms g per 100 ml of blood.
Cyanmethemoglobin method:
Principle: Blood is diluted in a solution containing potassium cynide and potassium ferricynide,
which converts Hb to cyanomethemoglobin later by potassium cyanide. The absorbance of the
solution is then measured in a spectrometer at a wavelength of 540 nm or in a colorimeter using a
yellow green filter.
Material required:
      Hb pipette
      Spectrometer
      Reagents : Drabkin’s solution with pH 7.0 -7.4
Procedure:
       Take 5 ml of Drabkin’s solution in a test tube.
       Mix the blood sample by gentle inversion and draw 0.02 ml of blood into the
         Hb pipette.
       Wipe the outer surface of the pipette to remove excess blood.
       Place the pipette into the tube containing Drabkin’s solution and slowly expel the
         blood into the solution.
       Mix well and let it stand undisturbed for 5 min.
       Measure the absorbance of this solution at 540 nm in a spectrometer after adjusting
         the OD at 0 by using Drabkin’s solution as blank.
       Calculate the hemoglobin concentrate using a standard curve.
       Normal level of hemoglobin in different animals
       Animal                 Hemoglobin level (g/100ml)
       Cattle                 11.3
       buffalo                12.9
       horse                  11.5
       goat                   10.9
       sheep                  14.4
       pig                    11.0
       Dog                    13.0
       cat                    12.0
       Diminished level is observed in case of anaemia. Increased level is observed in case of
       polycythaemia and haemoconcentration.
G. Basic interpretation of data of blood test/analysis
   1. Lymphocytosis: increased number of lymphocytes in blood is known as lymphocytosis.
      Lymphocytosis is seen during viral infection, tuberculosis, brucellosis, hypothyroidism,
      following vaccination, leukemia, adrenocortica insufficieny etc.
   2. Lymphopenia: decreased number of lymphocytes in blood is known as lymphopenia.
      Lymphopenia is seen during canine distemper, infectious canine hepatitis, corticosteroid
      therapy, hypothyroidism, coxiella burnetti infection, F.M.D, mucosal disease etc.
   3. Neutrophilia: increased number of neutrophils in blood is known as neutrophilia.
      Neutrophilia is seen during septicaemic disease, uremia, gout, coronary thrombosis,
      pyogenic infection, acute inflammation, cancer, arthritis, pyometra, post-surgical
        operation, pregnancy, calf diphtheria, rheumatic fever etc. the condition in which the
        immature neutrophils are present in blood is known as shift to left.
   4.   Neutropenia: the condition in which the number of neutrophils decreases is known as
        neutropenia. Neutropenia is seen during the infection of diseases such as pasteurellosis,
        bovine viral diarrhea, infectious canine hepatitis etc.
   5.   Eosinophila: increased number of eosinophil is known as eosinophilia. Eosinophilia is
        seen during parasitic infection, skin diseases, anaphylactic reaction etc.
   6.   Basophilia: the condition in which the number of basophils increases in blood is known
        as basophila. Basophilia is seen during pox, sinusitis, cirrhosis etc.
   7.   Monocytosis: increased number of monocytosis in blood is known as monocytosis.
        Monocytosis is seen during brucellosis, tuberculosis, carbon tetra chloride poisoning etc.
References
https://www.hematology.org/education/patients/blood-basics
SEER Training Modules, composition of the blood. U. S. National Institutes of Health, National
Cancer Institute. 21, apr, 2021<https://training.seer.cancer.gov/>.
https://www.phlebotomy.com/blood-collection-sites-precautions-wall-atlas.html
https://www.euro.who.int/WHO-guidelines-on-drawing-blood-best-practices-in-phlebotomy-
Eng.pdf
https://animal.research.uiowa.edu/iacuc-guidelines-blood-collection
https://ouv.vt.edu/content/dam/ouv_vt_edu/sops/large-animal/sop-bovine-blood-collection.pdf
McCurnin, D., and Bassert, J. Clinical Textbook for Veterinary Technicians (5th ed.).
(Philadelphia, PA:Saunders Elsevier 2002)