Arteriovenous Fistula Cannulation Methods and Dialysis Adequacy: A Cross-sectional Study From Turkey
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 164
- 试验地点
- 1
- 主要终点
- Number of Fistula Needle Direction
研究概览
简要总结
Arteriovenous fistulae are preferred among methods of providing blood access for hemodialysis. For each hemodialysis treatment, the fistula is cannulated usually with two needles. One, the arterial needle, allows the blood to be withdrawn from the patient into the dialysis circuit and then it is returned by the second or venous needle. The success of arteriovenous fistula cannulation is dependent on many variables and these are affect the dialysis adequacy.
详细描述
As hemodialysis prescriptions are usually three times weekly (4 to 8 h), a fistula or graft for hemodialysis will be punctured twice each dialysis treatment or at least 312 times per year. To allow healing of the tissues damaged during each cannulation, optimal cannulation practice is required by rotation of the needle insertion sites each dialysis treatment. Vascular access (VA) has been justly described as both the lifeline and the Achilles' heel of hemodialysis therapy, making blood purification itself possible while simultaneously often constituting a limiting factor in treatment adequacy.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 and older years of age
- •Have arteriovenous fistula
- •Being on hemodialysis therapy for 4 hours a day on 3 days per week for at least 6 months
- •Volunteering to participate in the study
- •Have not communication problem
排除标准
- •Younger than 18 years old
- •Not volunteering to participate in the study
- •Have communication problem
- •Being on shorter hemodialysis therapy for 4 hours a day on 3 days per week for at least 6 months
结局指标
主要结局
Number of Fistula Needle Direction
时间窗: up to 12 weeks
The hemodialysis nurse who cannulate the patient's fistula fill the data form. There is two options about fistula direction as antegrade or retrograde.
Number of Cannulation Method
时间窗: up to 12 weeks
The hemodialysis nurse who cannulate the patient's fistula fill the data form. There is three options about cannulation method as puncture, buttonhole, and rope ladder methods.
Number of Fistula Needle Rotated
时间窗: up to 12 weeks
The researchers look to the fistula needle while it inserts to the fistula. There is two options as needle rotation is yes or no.
Number of Arterial and Venous Needle Been on the Same Line
时间窗: up to 12 weeks
The researchers look to the arterial and venous line whether they are the same venous line.
次要结局
未报告次要终点
研究者
Nurten Ozen
Assistant Professor
Istanbul Demiroglu Bilim University