Needling recommendations for arteriovenous fistulae and grafts

The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review

“…Articles included 24 cross-sectional studies [ 1 – 3 , 25 , 26 , 28 – 30 , 33 , 36 , 37 , 39 – 45 , 47 , 50 – 52 ], one abstract of a literature review [ 38 ], one prospective cohort study [ 34 ], two case reports [ 31 , 48 ], one randomized controlled trial [ 24 ], and three reports [ 27 , 32 , 49 ]. The included studies used a variety of methodology to define and assess needle fear or phobia, ranging from a single question within a broader questionnaire, face-to face interviews to assessment of fear or phobia using a dedicated validated tool (eg.…”

“…Twenty-four articles assessed prevalence of needle fear [ 1 – 3 , 24 – 26 , 28 – 30 , 33 – 36 , 38 – 45 , 47 , 50 – 53 ], five described only management strategies or recommendations [ 27 , 31 , 32 , 48 , 49 ] and three reported both prevalence and management [ 2 , 24 , 34 ]. Of the eight articles that suggested management recommendations, three were underpinned by research evidence [ 27 ] or outcome data from quasi-experimental study [ 34 ] and randomised-controlled trial [ 24 ].…”

Nursing Practice guidelines for needling of A.V Fistula/grafts: Beni-Suef City, Egypt.

“…Nursing practice guidelines for needling of AVF/ AVG booklet in Arabic and English languages (23)(24)(25)(26).…”

Is it feasible to compare two methods of needle insertions for use in kidney dialysis treatment?

“…Patients want to know the advantages and disadvantages of both techniques, so they can make an informed choice based on data. The 'British Renal Society's Clinical Practice Recommendations for Cannulation of Arteriovenous Fistulae and Grafts' (7,20) are unable to provide evidence based recommendations on the optimal application of either technique, due to the poor quality of existing studies.…”

“…The following elements are specified as acceptable variation in the cannulation procedure:  Assessment prior to cannulation should include inspection and palpation of vessel and exploration of cannulation history, but may also include more in-depth elements including auscultating the bruit.  Either sterile or non-sterile gloves can be used for cannulation dependent on local policy and also clinician judgement  The fistula needle can either be inserted with a sterile N/Saline flush insitu (wet) or empty with no flush inserted (dry)  0.5% or 2% chlorhexidine in alcohol can be used to clean cannulation sites  A tourniquet to assist with cannulation or no use of a tourniquet, according to local policy and clinician judgement  Securing the needle with tape can use any method deemed acceptable by the local policy, as long as non-sterile tape does not touch the cannulation site  Antimicrobial cream or ointment used on needle sites at the end of treatment, with buttonhole cannulation, but the type of cream can vary according to local policy  Varied buttonhole track development period, according to individual patient need -this will be recorded on an individual participant basis These elements of cannulation practice are within the limits of acceptable variation in current best practice recommendations (7,20). Each unit will be asked to provide detail of their standard cannulation practices, via a questionnaire administered on one occasion to the site PI (or delegated staff member).…”