Health Condition 1: null- Chronic Kidney Disease type V patients visiting surgery clinic for creation of Arterio venous fistula for the purpose of haemodialysis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. CKD 4-5 patients visiting surgery clinic for creation of AVF for the purpose of haemodialysis 2. 18 to 65 years years of age both male and female 3. Presence of thrill / bruit at operated site after AV-fistula surgery. 4. Patient is able to follow instructions 5. Patients are ready for regular follow up 6. Able to provide informed written consent
Exclusion criteria
Exclusion criteria: 1. History of previous surgery on upper limb 2. Ipsilateral central venous stenosis or occlusions of vein that is not amenable to correction 3. Non-compliance with medical care or follow up 4. Patient suffering from psychiatry problems 5. Contraindications or unable to perform handgrip exercise: A) upper extremity arthritis, musculoskeletal or neurologic problem that prevents arm exercise B) Hypertension - SBP >180, DBP >90; C) Hypotension - SBP D) Documented coronary artery disease or episode of angina pectoris E) NYHC IV heart failure 6. Unable to give consent or patient refusal 7. Absence of thrill / bruit at operated site after AV-fistula surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| to study the efficacy of hand grip exercise on the outcome AV-fistula surgery. Efficacy means: Maturation and success of AV fistula surgery. Objective definition of maturation of AV-fistula 1 Cross sectional luminal diameter of draining vein 4mm measured using duplex ultrasonography 2 Intra-access flow rate in draining vein 500ml/hr measured using duplex ultrasonography Timepoint: 0 weeks 4 weeks 8 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: 0 | — |
Countries
India
Contacts
All India Institute of Medical Science New Delhi