Health Condition 1: N189- Chronic kidney disease, unspecified
Conditions
Interventions
Intervention1: Exercise group: Exercise group:
Patients will be started on daily isometric arm, wrist and handgrip exercises from day 2 following surgery for AVF till 8 weeks post-operatively, as fol
put the palms of the hands together to contract the arm muscles for 5 seconds
rest for 30 seconds, and repeat the previous steps 5 times.
b) Try to lift a heavy table with both hands to contract the arm muscles for 5 seconds. Rest for 30 seconds, and repeat the previous steps
rest for 30 seconds, and repeat the previous steps 10 times. The patient will rest 1 min for every 10 squeezes and 5 min between both sets.
The patient will be asked to repeat this protocol twice a
Sponsors
Kasturba Medical College
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >18 years 2. CKD stage 4-5D undergoing upper limb AVF creation (radiocephalic, brachiocephalic or brachiobasilic fistula)
Exclusion criteria
Exclusion criteria: 1. Inability to perform the physical exercise protocol due to physical or mental disability 2. Pre-existing failed AVF in the same limb 3. Patient with immediate vascular access failure (an access that has either no appearance of or a loss of bruit or thrill within 72 hours of creation) (as per North American Vascular Access Consortium (NAVAC) definition)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| a.AVF maturation at the end of 4 weeks. Maturation will be assessed both clinically and radiologically (using Doppler ultrasound) Clinical criteria for maturation: Easily palpable vein with a straight superficial segment of length more than 6cm, and good thrill. Ultrasound criteria for maturation: Vein diameter â?¥ 6mm, skin-vein distance â?¤6 mm AND estimated blood flow rate â?¥ 600 ml/min Timepoint: 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| a. AVF maturation at 8 weeks b. Vein diameter at end of 8 weeks c. Estimated fistula blood flow rate at end of 8 weeks Timepoint: 8 weeks | — |
Countries
India
Contacts
Public ContactINDU RAMACHANDRA RAO
KASTURBA MEDICAL COLLEGE
Outcome results
None listed