Management Strategies for Pain Associated with Arteriovenous Fistula Cannulation: An Integrative Literature Review

Alzaatreh, Mohammad; Abdalrahim, Maysoon S.

doi:10.1111/hdi.12803

Cited by 25 publications

(28 citation statements)

References 32 publications

(160 reference statements)

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“…In contrast, the underlying cause for the pain cited by the highest percentage of subjects was the dialysis procedure itself (21.6 %). Causes which were attributed to pain may be due to cannulation, steal syndrome, or cramping [28].…”

Section: Presence Site and Causes Of Painmentioning

confidence: 99%

Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine

et al. 2021

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Background Chronic kidney disease (CKD) is a rising medical concern around the world. End-stage kidney disease (ESKD) is the last stage of CKD stages that necessitates renal replacement therapy (RRT), such as hemodialysis (HD), which seems to be the most commonly used type. However, patients on HD still suffer from high mortality and morbidity rates compared to those who receive a kidney transplant. Therefore, we aimed in this study to assess the prevalence of pain among ESKD patients on HD, as well as to explore the factors that were associated with this complaint. Methods We conducted a multicenter cross-sectional study in the West Bank, Palestine, between August and November 2018. We used questionnaire-based direct interviews with subjects. After reviewing previous studies in the field, we developed our questionnaire and included items on patients’ social, demographic, and clinical characteristics, including dialysis-related data. It also contained the Brief Pain Inventory (BPI) to assess different aspects of pain symptoms. A convenience sampling technique was used to collect data. Results Of the 300 participants, 66.3 % reported having chronic pain. HD sessions themselves were the most commonly cited cause for pain (21.6 %). The most commonly cited site of pain was the upper and lower limbs (37.3 %). Paracetamol was the most frequently used pharmacotherapy for pain alleviation. Multiple regression analysis showed that BMI (p = 0.018), gender (p = 0.023), and the number of comorbidities (p < 0.001) were independently associated with pain severity score. Conclusions Pain is a highly prevalent symptom among HD patients in Palestine. Subpopulations with higher pain severity include females, patients with higher BMI, and those with multiple comorbidities. Healthcare providers should routinely assess pain in HD patients as it is considered a significant concern. This would involve pain assessment and development of a treatment plan to improve clinical outcomes. The nephrology associations should also push for pain management in HD patients as a clinical and research priority to improve pain-related disability.

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Section: Presence Site and Causes Of Painmentioning

confidence: 99%

Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine

et al. 2021

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“…The authors suggested that it might reflect a faster systemic uptake of drug because of an increased cardiac output in renal failure [ 34 ]. In addition, reports of toxicity in CKD [ 35 , 36 ] have led to suggestions that the pharmacokinetics of LAs may be altered unfavorably in this condition, although conclusive data in this area are lacking.…”

Section: La Use In Patients With Kidney Diseasementioning

confidence: 99%

Local anesthetics for the Nephrologist

Uppal

Jhaveri

Hong

et al. 2021

Clinical Kidney Journal

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Several specialists in medicine use local anesthetics. In patients with kidney disease, these agents are used during catheter insertions for hemodialysis and peritoneal dialysis, arteriovenous fistula and graft procedures, kidney transplantation, parathyroidectomy, kidney biopsies and dental and skin procedures. Patients on chronic hemodialysis use a topical application prior to use of needles for arteriovenous fistula cannulation before starting dialysis. They are also used to manage acute and chronic pain conditions, in regional nerve blockade, and in multi-modal enhanced recovery protocols. Despite their frequent use by both physicians and patients, data on use of local anesthetics in patients with kidney impairment are not well reported. This review will summarize the use of local anesthetics in chronic kidney disease, describe their pharmacology, and the impact of lower estimated glomerular filtration rate on their pharmacokinetics, and suggest dose regulation in those with kidney dysfunction.

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“…For patients to receive hemodialysis treatment, a needle must be inserted into the AVF Effect of aromatherapy each time. Considering that patients receive dialysis treatment at least three times a week, patients receive needle interventions quite frequently [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Pain management is one of the most basic nursing interventions. By controlling pain, patients may have increased satisfaction and improved quality of life [6]. Pain management may be achieved by nonpharmacological and pharmacological methods.…”

Section: Introductionmentioning

confidence: 99%

Effect of aromatherapy on the pain of arteriovenous fistula puncture in patients on hemodialysis: a systematic review

Yıldız

Şahan²

2021

JHR

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PurposeThis study aims to determine the effect of aromatherapy used in reducing the pain caused by fistula puncture in hemodialysis patients.Design/methodology/approachIn this study, the effect of aromatherapy application on fistula puncture was analyzed and carried out by scanning the relevant literature. The literature review was conducted between August and October 2020. While reviewing the literature, the authors used “aromatherapy,” “pain,” “fistula,” “puncture,” “hemodialysis” keywords and various combinations of these; moreover, Google scientist, Pubmed, Cochrane, ScienceDirect, Web of Science, Medline and Ovid databases and studies, which were conducted in the last 10 years were reviewed. As a result of the literature review, 1183 studies were reached and seven of them were included in the study by taking the inclusion criteria into account.FindingsThe randomized controlled studies are six studies and nonrandomized controlled experimental 1 study were added to the scope of the study and seven studies were included in the sample. In these studies, personal information forms developed by the researchers as data collection tools and the VAS scale, Numerical pain rating, the numeric rating scale were used to evaluate pain.Practical implicationsIt has been determined that aromatherapy application in hemodialysis patients has positive effects on reducing pain due to puncture fistula intervention.Originality/valueThis study provides reduction or elimination of fistula needle insertion pain in hemodialysis patients.

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Management Strategies for Pain Associated with Arteriovenous Fistula Cannulation: An Integrative Literature Review

Cited by 25 publications

References 32 publications

Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine

Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine

Local anesthetics for the Nephrologist

Effect of aromatherapy on the pain of arteriovenous fistula puncture in patients on hemodialysis: a systematic review

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