Relationship between arteriovenous fistula cannulation practices and dialysis adequacy: A prospective, multicenter study.

Autor: Ozen N; Department of English Nursing, Florence Nightingale Hospital School of Nursing, Demiroglu Bilim University, İstanbul, Türkiye., Aydin Sayilan A; Department of Nursing, Kirklareli University School of Health Science, Kırklareli, Türkiye., Sayilan S; Department of Internal Medicine, Kirklareli University, Kırklareli, Türkiye., Mut D; Department of Intensive Care Unit, Kirklareli State Hospital, Kırklareli, Türkiye., Akin EB; Department of General Surgery, Unit of Renal Transplantation, Demiroglu Bilim University, İstanbul, Türkiye., Ecder ST; Department of Internal Medicine, Division of Nephrology, Demiroglu Bilim University, İstanbul, Türkiye.
Jazyk: angličtina
Zdroj: Journal of renal care [J Ren Care] 2022 Mar; Vol. 48 (1), pp. 41-48. Date of Electronic Publication: 2021 Jan 25.
DOI: 10.1111/jorc.12365
Abstrakt: Background: Successful arteriovenous fistula cannulation ensures maximum patient benefit in the haemodialysis procedure.
Objective: The aim of this study was to determine the effect of various cannulation methods used for arteriovenous fistulas on dialysis adequacy.
Design: It is a descriptive, cross-sectional and multicenter study.
Participants: A total of 164 dialysis patients from four dialysis centers were included.
Measurements: Data were collected by determining patients' characteristics and the arteriovenous fistula cannulation method used, in addition to recording the Kt/V and urea reduction ratio values to evaluate dialysis adequacy. The mean Kt/V and urea reduction ratio values over 3 months after dialysis initiation were used. This trial is registered with ClinicalTrials.gov, NCT04270292.
Results: Cannulation with the puncture method was used in 53% of the patients; the fistula needles were inserted in the antegrade direction in 43.9% of the patients; the arterial needle was rotated after fistula needle placement in 63.4% of the patients; and the arterial and venous needles were on the same vascular line in 15.2% of the patients. Placement of the fistula needle in the antegrade direction increased the Kt/V value 0.164 times (95% confidence interval: 0.002-0.212, p = .047).
Conclusion: Antegrade placement could be a factor influencing dialysis adequacy. We suggest antegrade interventions to the fistula to maximize the patient benefit from the haemodialysis treatment.
(© 2021 European Dialysis and Transplant Nurses Association/European Renal Care Association.)
Databáze: MEDLINE
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