CANNULATION PRACTICE PATTERNS IN HAEMODIALYSIS VASCULAR ACCESS: PREDICTORS FOR UNSUCCESSFUL CANNULATION

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 complicati...

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Bibliographic Details
Published in:Journal of renal care 2009-06, Vol.35 (2), p.82-89
Main Authors: Van Loon, Magda M., Kessel, Alphons G.H., Van Der Sande, Frank M., Tordoir, Jan H.M.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arteriovenous fistulae
Arteriovenous Shunt, Surgical
Blood Vessel Prosthesis
Cannulation
Cannulation-related complications
Catheterization - adverse effects
Catheterization - instrumentation
Catheterization - methods
Catheterization - nursing
Catheters, Indwelling
Equipment Failure Analysis
Female
Haemodialysis
Humans
Male
Medical Errors - statistics & numerical data
Middle Aged
Multivariate Analysis
Netherlands
Nursing
Prospective Studies
Regression Analysis
Renal Dialysis - nursing
Risk Factors
Vascular Access
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Summary: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
ISSN:1755-6678
1755-6686
DOI:10.1111/j.1755-6686.2009.00092.x