Vascular access: viewing the vein

Kelly, Linda

doi:10.12968/bjon.2013.22.sup14.s16

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Publications were excluded if they: were not published in English; investigated POCUS‐guided peripheral cannula insertion or POCUS use in general vascular access; included iatrogenic AVF; were animal studies; referred to guided ultrasound being undertaken by a sonographer, radiographer, physician or surgeon; investigated CVAD insertion; investigated ultrasound dilutional access flow monitoring; or examined cannulation techniques but did not mention use of ultrasound. While there are frequently cited abstracts, 25,26 letters 27,28 and other published works related to the use of POCUS in hemodialysis by nephrologists, 17,29 surgeons, 30 or sonographers, 31 these did not meet agreed inclusion criteria, so were excluded from this review.…”

Section: Methodsmentioning

confidence: 99%

Point‐of‐care ultrasound use for vascular access assessment and cannulation in hemodialysis: A scoping review

Schoch

Bennett

Currey

et al. 2020

Seminars in Dialysis

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Point‐of‐care ultrasound (POCUS) for access assessment and guided cannulation has become more common in hemodialysis units. The aims of this scoping review were to determine: circumstances in which renal nurses and technicians use POCUS; the barriers and facilitators; and evidence of the effects of POCUS in guiding assessment and cannulation. A search was conducted of CINAHL, Medline, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and ProQuest, Trove and Google Scholar as grey literature sources. Of 1904 publications, 21 studies met inclusion criteria (11 full text and 10 abstracts). These included primary research publications (n = 5), clinical observational cohort studies (n = 5), case studies (n = 3), published guidelines (n = 2), and published position papers (n = 6). POCUS was used for: assessing arteriovenous fistula (AVF) maturation; identifying landmarks and abnormalities; assessing alternate cannulation sites; performing new AVF cannulation; performing difficult cannulation; increasing cannulation accuracy; performing cannulation through stents; and patient self‐cannulation training. There were scant data on the barriers to, and facilitators of the use of POCUS, and a distinct lack of empirical evidence to support its use. These knowledge gaps highlight the need for further clinical studies, particularly randomized clinical trials, to test the effectiveness of POCUS in hemodialysis for assessment and guided cannulation.

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Section: Methodsmentioning

confidence: 99%

Point‐of‐care ultrasound use for vascular access assessment and cannulation in hemodialysis: A scoping review

Schoch

Bennett

Currey

et al. 2020

Seminars in Dialysis

View full text Add to dashboard Cite

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Health professionals' lack of knowledge of central venous access devices: the impact on patients

Kelly¹,

Snowden

Paterson

et al. 2019

Br J Nurs

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Background: the literature on the patient experience of living with a central venous access device (CVAD) is growing, but remains sparse. It suggests that patients accept having a CVAD as it should reduce episodes of repeated cannulations. However, a recent doctoral study found the reality did not live up to this hope. Aim: the study objective was to uncover the global, cross-disease experience of patients with CVADs. Method: an online survey was sent to an international sample of people living with CVADs. Findings: 74 people from eight countries responded. Respondents corroborated the PhD findings: painful cannulation attempts continued after CVAD insertion because of a lack of clinical knowledge. Participants lost trust in clinicians and feared complications due to poor practice. Conclusion: clinicians often lack the necessary skills to care and maintain CVADs. This leads to a negative patient experience.

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Vascular access: viewing the vein

Cited by 2 publications

References 6 publications

Point‐of‐care ultrasound use for vascular access assessment and cannulation in hemodialysis: A scoping review

Point‐of‐care ultrasound use for vascular access assessment and cannulation in hemodialysis: A scoping review

Health professionals' lack of knowledge of central venous access devices: the impact on patients

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