Elements of dialysis nursing practice associated with successful cannulation: Result of a survey

12^th Annual Conference on Nephrology & Urology

JULY 06-07, 2017 KUALA LUMPUR, MALAYSIA

Maria Teresa Parisotto, Francesco Pelliccia, Aileen Grassmann and Daniele Marcelli Fresenius

Fresenius Medical Care, Germany

Posters & Accepted Abstracts: J Nephrol Ther

Abstract :

Introduction: Vascular Access (VA) cannulation is an essential skill for dialysis nurses: Failure to correctly repeat this operation day after day may result in serious complications for the patients. Aim: The aim of this study was to investigate if the different aspects of Arteriovenous Fistula (AVF) and Graft (AVG) cannulation have an effect on the development of acute access complications which may, in the medium-long term, affect the survival of the vascular access. Methods: In April 2009, a cross-sectional survey was conducted in 171 dialysis units located in Europe, the Middle East, and Africa to collect details on VA cannulation practices. Information on cannulation retrieved from the survey comprised fistula type and location, cannulation technique, needle size, application of arm compression at the time of cannulation, needle and bevel direction, needle rotation and needle fixation. Results: In total, 10,807 cannulation procedures of an equivalent number of patients were observed and included in the current evaluation. Out of all observed cannulation procedures, 367 showed some kind of complication, the most frequent (33.8%) being the need for multiple cannulations. In summary, the following were associated with a significantly higher odds ratio for acute complication: prescription of 16-17 gauge needles, of back-eye needles, the use of rope-ladder cannulation technique, the insertion of the venous needle as first needle and the rotation of the arterial needle. Conclusions: This study highlights critical steps in the process of cannulation potentially affecting the lifespan of the vascular access and stressing the need for additional research aimed to improve the practice.

Biography :

Email: mparisotto@icloud.com