<scp>KHA‐CARI</scp> Guideline: Vascular access – central venous catheters, arteriovenous fistulae and arteriovenous grafts

Polkinghorne, Kevan R.; Chin, George; MacGinley, Robert; Owen, Andrew; Russell, Christine; Talaulikar, Girish; Vale, Edwina; Lopez‐Vargas, Pamela

doi:10.1111/nep.12132

Cited by 104 publications

(117 citation statements)

References 12 publications

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“…Proper use of disinfectant such as 2% chlorhexidine is recommended to prevent vascular access infection. Aseptic technique in cannulation or connection is important to prevent access infection or systemic infection . Home haemodialysis machine, water treatment system and its maintenance are essential; monitoring of dialysis water quality is also required…”

Section: Nocturnal Home Haemodialysis Patient Trainingmentioning

confidence: 99%

Clinical practice guidelines for the provision of renal service in Hong Kong: Renal Nursing Practice

Kong¹,

Law

2019

Nephrology

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Section: Nocturnal Home Haemodialysis Patient Trainingmentioning

confidence: 99%

Clinical practice guidelines for the provision of renal service in Hong Kong: Renal Nursing Practice

Kong¹,

Law

2019

Nephrology

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“…In August 2010, a tunneled and cuffed catheter was inserted into the patient's right internal jugular vein in order to reduce the risk of short‐ and long‐term complications , such as tunnel infection and dislodgement. Both patient and family took responsibility for assessing for signs and symptoms of infection, the jugular vein catheter dressings remained intact and lumens remained capped and clamped as per current guidelines.…”

Section: Case Historymentioning

confidence: 99%

Maintaining a viable vascular access for hemodialysis in an elderly person with diabetes: a journey to live, not just to stay alive

Cowan

Smith

Chow

2016

Clinical Case Reports

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“…Dialysis central venous catheters (CVCs) are an essential part of the management of end‐stage kidney disease, but are associated with greater risks of central venous stenosis, infection rates, patient harm and higher costs compared with other dialysis access modalities . While dialysis CVCs are lifesaving in an emergency situation, they are considered the access of last resort . Approximately 40% of Australian adults commence haemodialysis with a catheter, while some rates internationally are as high as 73% .…”

mentioning

confidence: 99%

Current practice in dialysis central venous catheter management: Multi‐disciplinary renal team perspectives

Craswell

Massey

Wallis³

et al. 2019

Nephrology

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Aim To explore the current practices related to the insertion, management and removal of dialysis central venous catheters (CVCs) used in patients with chronic kidney disease requiring haemodialysis. Methods This qualitative descriptive study involved semi‐structured interviews with surgeons, interventional radiologists, renal physicians, dialysis nurses, renal access nurses and renal researchers involved in the care of patients with chronic kidney disease requiring haemodialysis. Data were collected from staff at eight hospitals in six states and territories of Australia. Thirty‐eight face‐to‐face interviews were conducted. A modified five‐step qualitative content analysis approach was used to analyse the data. Results Improved visualization technology and its use by interventional radiologists has steered insertions to specialist teams in specialist locations. This is thought to have decreased risk and improved patient outcomes. Nurses were identified as the professional group responsible for maintaining catheter access integrity, preventing access failure and reducing access‐related complications. While best practice was considered important, justifications for variations in practice related to local patient and environment challenges were identified. Conclusion The interdisciplinary team is central in the insertion, maintenance, removal and education of patients regarding dialysis CVCs. Clinicians temper research‐based decision‐making about central dialysis access catheter management with knowledge of individual, environmental and patient factors. Strategies to ensure guidelines are appropriately translated for use in a wide variety of settings are necessary for patient safety.

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KHA‐CARI Guideline: Vascular access – central venous catheters, arteriovenous fistulae and arteriovenous grafts

Cited by 104 publications

References 12 publications

Clinical practice guidelines for the provision of renal service in Hong Kong: Renal Nursing Practice

Clinical practice guidelines for the provision of renal service in Hong Kong: Renal Nursing Practice

Maintaining a viable vascular access for hemodialysis in an elderly person with diabetes: a journey to live, not just to stay alive

Current practice in dialysis central venous catheter management: Multi‐disciplinary renal team perspectives

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