None listed
Conditions
Brief summary
Patients with kidney disease require 6 metal needles per week. The use of metal dialysis needles can lead to complications such as bruising, swelling and pain. The aim of this study is to measure feasibility related aspects of the introduction of plastic needles in haemodialysis clinics. Participants will receive metal needles and plastic needles and the study will compare needle complications and participant anxiety.
Interventions
Intervention will be the use of plastic cannulae to facilitate blood access for haemodialysis. Trained registered nurses with a minimum of 1 year experience will be inserting the plastic cannulae. These nurses already are trained in plastic cannulae insertion. Plastic cannulae will be used for a 12 week period, 3 times per week at every haemodialysis session. Participants will be randomized to 12 weeks of plastic cannulae followed by 12 weeks of metal needles (Group 1) or to 12 weeks of metal needles followed by 12 weeks of plastic cannulae (Group 2). There is no washout period as it is not feasible or ethical for patients to not have dialysis treatment (requiring needle or cannula insertion) in between arms. This will take place at renal dialysis units within Barwon Health.
Sponsors
Study design
Eligibility
Inclusion criteria
Diagnosed with end stage kidney disease Receiving hemodialysis in a Barwon Health clinic. Receiving dialysis for a minimum of 6 weeks Using an arterio-venous fistula
Exclusion criteria
Cognitive impairment, Inability to understand English Home dialysis patients