Elements of dialysis nursing practice associated with successful cannulation: result of an international survey

Abstract

The risk of an acute VA complication could be reduced with appropriate training of nurses, physicians and patients. This could potentially prolong the VA life.

“Being, Transcending, & Harmonizing”: Nature, Patterns and Expressions of Caring Among Nurses Working in Hemodialysis Unit

“…The centrality of technical skill such as cannulation in the hemodialysis ward have similar findings in the study by Parisotto, Pelliccia, Grassmann, & Marcelli (2017) which shows that cannulation accounts are the most frequent procedure in the hemodialysis unit.…”

Prevalência E Fatores Associados Para a Ocorrência De Eventos Adversos No Serviço De Hemodiálise

“…When analyzing the proportion of patients with cannulation complications by type of vascular access, it was verified that there were multiple cannulations in 3.2% of the patients with autologous fistulas and 1.8% of those had fistulas with prosthesis; isolated infiltration occurred in 0.9% and hematomas formed in 1.2% of autologous fistulas, and in fistulas with prosthesis, isolated infiltration occurred in 0.1% and hematoma occurred in 0.6%. 29 Thus, in cases of infiltration the following should be considered as immediate care: effective direct compression for hemostasis, 30 thus preventing the formation or worsening of the hematoma. Another recommended practice is the adequate use of cryotherapy, which reduces local inflammatory markers, 31 which, in the AVF, can lead to vascular wall damage, 32 resulting in its failure.…”

Vascular Access Management for Haemodialysis: A Value-Based Approach from NephroCare Experience

“…It consists of alternating puncture sites at a defined distance from the previous one along the VA vessel as an attempt to prevent aneurysm formation, stenosis and repeated trauma by multiple punctures. The area (one-site-itis) puncture is the insertion of the needles in the same general area of 2-3 cm, session after session [145]. This method exposes to weakness VA wall with progressive dilation leading to false aneurysm.…”

“…Nurses play a crucial role in the management of all VAs. VA assessment, cannulation and care are mandatory skills for dialysis nurses: failure to correctly perform this operation may result in serious complications for the patients [145].…”