1. CANNULATION PRACTICE PATTERNS IN HAEMODIALYSIS VASCULAR ACCESS: PREDICTORS FOR UNSUCCESSFUL CANNULATION
- Author
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Magda M, van Loon, Alphons G H, Kessels, Alphons G H, Kessel, Frank M, van der Sande, and Jan H M, Tordoir
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Vascular access ,Catheterization ,Arteriovenous Shunt, Surgical ,Catheters, Indwelling ,Renal Dialysis ,Risk Factors ,Blood vessel prosthesis ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Dialysis ,Aged ,Netherlands ,Aged, 80 and over ,Advanced and Specialized Nursing ,Tourniquet ,Medical Errors ,Practice patterns ,business.industry ,Incidence (epidemiology) ,Middle Aged ,Blood Vessel Prosthesis ,Surgery ,Equipment Failure Analysis ,Catheter ,Nephrology ,Multivariate Analysis ,Regression Analysis ,Female ,business - Abstract
SUMMARY Background: Little is known about the relationship of cannulation practices in dialysis facilities with the frequency of failed cannulations, complications and subsequent vascular access (VA) failure. Methods: In an observational study the incidence of mis-cannulations and related complications were observed. Patient characteristics, comorbidities and VA characteristics like type of VA were correlated with occurrence of cannulation-related complications. In addition, the cannulation technique and practice patterns like needle direction, tourniquet use and years of experience of dialysis nurses were registered. Results: During the study period, 37% of patients with autogenous arteriovenous fistulae (AVF), and 19% of patients with arteriovenous grafts (AVG) had more than 10 miscannulations. Cannulation-induced haematoma resulted into single-needle (SN) and catheter dialysis in 40% of the patients. The use of central venous catheters (CVC) and SN dialysis were significant predictors of VA failure (p
- Published
- 2009