Difficult Vascular Access in Patients With End-Stage Renal Failure

Nikeghbalian, S; Bananzadeh, Alimohammad; Yarmohammadi, Hirad

doi:10.1016/j.transproceed.2006.02.101

Cited by 9 publications

(6 citation statements)

References 4 publications

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“…In the present study, mean age of the patients in both groups was above 50 years, which is similar to the results of previous studies in this regard (11,21,22). According to the literature, advanced age is a major risk factor for the incidence of chronic renal failure (18,30); consequently, mean age of many hemodialysis patients is relatively high.…”

Section: Discussionsupporting

confidence: 90%

Comparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trial

Aghajanloo

Ghafourifard

Haririan

et al. 2016

J Nurs Midwifery Sci

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Cryotherapy on the pain of arteriovenous fistula cannulation Comparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trialAbstract Background and Purpose: Pain perception with arteriovenous fistula (AVF) cannulation is a major concern among patients undergoing hemodialysis. This study aimed to compare the efficacy of cryotherapy and placebo in the reduction of AVF puncture-related pain in hemodialysis patients.Methods: This randomized clinical trial was conducted on 50 patients undergoing hemodialysis selected via random sampling. Patients were randomly divided into two groups of intervention and control. Patients in the intervention group received cryotherapy using ice cubes wrapped in latex gloves, which were placed on the back of the hands without AVF (between the index finger and thumb).The same process was performed on the patients of the control group by using wooden cubes as placebo instead of ice cubes. Pain perception of the patients was recorded during two consecutive hemodialysis sessions using a visual analogue scale. Data analysis was performed in SPSS V.13 using Chi-square and independent T-test. Results:With cryotherapy, scores of AVF puncture-related pain significantly reduced from 5.9±0.96 in session one (routine care) to 3.2±1.71 in session two of hemodialysis. However, no significant difference was observed between the two sessions in patients of the control group (P=0.07). Conclusion:According to the results of this study, cryotherapy, as a non-pharmacological and complementary approach, could be effective in the prevention of the pain associated with AVF cannulation. Therefore, it is recommended that nurses apply this method before AVF cannulation in order to alleviate pain intensity in hemodialysis patients.

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Section: Discussionsupporting

confidence: 90%

Comparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trial

Aghajanloo

Ghafourifard

Haririan

et al. 2016

J Nurs Midwifery Sci

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“…The AV fistula with its long patency rate and low complication profile is usually the first choice for vascular access creation. However, when superficial veins are not suitable for the AV fistula creation, or they have all been exhausted as a result of repeated AV fistula procedures, arteriovenous grafts using expanded polytetrafluoroethylene (PTFE) are an alternative [ 58 ]. The PTFE graft—prosthetic bridge graft (PBG)—consists of a synthetic catheter inserted and sutured into an artery, usually the radial artery, and a vein, usually the cephalic or the basilic vein.…”

Section: Extra-renal Complications In Patients Undergoing Long-term Hmentioning

confidence: 99%

“…Unlike the arteriovenous fistula used for chronic haemodialysis, the AV graft can be used immediately. Just as in natural AVF, the non-dominant arm should be used first [ 58 ]. Compared to properly formed fistulas, grafts tend to have more problems with clotting and infections and require earlier replacement.…”

Section: Extra-renal Complications In Patients Undergoing Long-term Hmentioning

confidence: 99%

Imaging of haemodialysis: renal and extrarenal findings

et al. 2015

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Electrolyte alterations and extra-renal disorders are quite frequent in patients undergoing haemodialysis or peritoneal dialysis. The native kidneys may be the site of important pathologies in patients undergoing dialysis, especially in the form of acquired renal cystic disease with frequent malignant transformation. Renal neoplasms represents an important complication of haemodialysis-associated acquired cystic kidney disease and imaging surveillance is suggested. Extra-renal complications include renal osteodistrophy, brown tumours, and thoracic and cardiovascular complications. Other important fields in which imaging techniques may provide important informations are arteriovenous fistula and graft complications.Teaching points• Renal neoplasms represent a dreaded complication of haemodialysis.• In renal osteodystrophy bone resorption typically manifests along the middle phalanges.• Brown tumours are well-defined lytic lesions radiographically, possibly causing bone expansion.• Vascular calcifications are very common in patients undergoing haemodialysis.• Principal complications of the AV fistula consist of thrombosis, aneurysms and pseudoaneurysms.

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“…Prosthetic materials may be used in patients who are deemed to be poor candidates for AVF formation (4).…”

Section: S Ince Its Introduction In 1966 Bymentioning

confidence: 99%

Superficialization of deep arteriovenous access procedures in obese patients using suction-assisted lipectomy: A novel approach

Krochmal¹,

Rebecca²

2010

CAN J PLAST SURG

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Difficult Vascular Access in Patients With End-Stage Renal Failure

Cited by 9 publications

References 4 publications

Comparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trial

Comparison of the effects of cryotherapy and placebo on reducing the pain of arteriovenous fistula cannulation among hemodialysis patients: A randomized control trial

Imaging of haemodialysis: renal and extrarenal findings

Superficialization of deep arteriovenous access procedures in obese patients using suction-assisted lipectomy: A novel approach

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