ABSTRACT
To increase the survival and cannulation of a new AVF access, the cannulation team at the facility needs information from the surgeon, including ultrasound and vessel mapping reports. The greater knowledge one has about the access, the better chance the vascular access team to successfully cannulate and maintain its patency. Ultrasound studies, combined with an AVF where the wall thickness is a minimum of 0.13 mm, are the beginning standard for a mature fistula.
Subject(s)
Arteriovenous Shunt, Surgical/adverse effects , Arteriovenous Shunt, Surgical/methods , Graft Occlusion, Vascular/prevention & control , Kidney Failure, Chronic/therapy , Renal Dialysis/methods , Catheterization/adverse effects , Catheterization/methods , HumansSubject(s)
Arteriovenous Shunt, Surgical/adverse effects , Catheterization, Peripheral/adverse effects , Catheterization, Peripheral/methods , Renal Dialysis/instrumentation , Arteriovenous Shunt, Surgical/nursing , Catheterization, Peripheral/nursing , Humans , Renal Dialysis/nursing , Skin Care/methods , Skin Care/nursingABSTRACT
Self-cannulation has been shown to decrease complications and extend the life of the arteriovenous fistula. Teaching self-cannulation has been difficult due to patient distress created by the use of needles. This article discusses a technique that has been used in the authors' clinic to teach self-cannulation to incenter patients. The observed use of this technique has helped create a comfortable environment for the patient.
