Chronic Kidney Disease, Kidney Failure
Conditions
Keywords
hemodialysis, cannulation, AV-fistula, buttonhole technique
Brief summary
Arteriovenous fistula is the preferred access for hemodialysis, and cannulation using a button-hole technique is increasingly recommended. By using the same two sites for cannulation there are reports of less risk of complications and less pain for the patient. However, button-hole cannulation can be difficult for the dialysis nurse, and failing cannulations can damage the AV fistula and increase patient discomfort. The investigators therefore will test whether a simple marking on the skin of the direction and angle of cannulation used in each specific patient could improve the probability of a successful and painfree cannulation.
Interventions
PROCEDURESkin drawing
Mark direction and angle for cannulation with a pencil on the skin
PROCEDURENo skin drawing
Standard practice; i.e. no marks on skin to help find correct direction and angle for introducing needles
Sponsors
St. Olavs Hospital
Haukeland University Hospital
Vestre Viken Hospital Trust
Sykehuset Innlandet HF
Kristiansund Hospital
Bodø sykehus
University Hospital, Akershus
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* chronic kidney disease * hemodialysis * arteriovenous fistula * established buttonhole technique * informed consent signed
Exclusion criteria
* child * minor * not speaking Norwegian * not willing to sign informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of successful cannulations | 8 weeks | A successful cannulation is defined as being able to insert a blunt needle in both canals at the first attempt. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difficulty of cannulation | 8 weeks | Nurse and patients describe on a Verbal Rating Scale (1-6) how difficult the cannulation was experienced. All dialysis sessions are scored. |
| Fear of cannulation | 8 weeks | Patients describe on a Verbal Rating Scale (0-10) how strongly they fear the cannulation. Assessed once a week. |
| Pain at cannulation | 8 weeks | Patients describe on a VAS scale (0-10) how painful the cannulation was experienced. Assessed once a week. |
Countries
Norway
Outcome results
None listed