Buttonhole Cannulation of Arteriovenous Fistulas in the United States

Vachharajani, Tushar J.; Wong, Leslie P.; Niyyar, Vandana Dua; Abreo, Kenneth; Mokrzycki, Michele H.

doi:10.34067/kid.0000052020

Cited by 10 publications

(12 citation statements)

References 20 publications

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“…The kind of cannulation technique utilised in clinical practise is frequently determined by the standard of dialysis, overall patient safety, and a patient's personal experience with dialysis. The three methods-rope ladder, area, and buttonhole-that are often employed as hemodialysis vascular access are (Vachharajani et al, 2020) Regarding the Percentage distribution of participated groups regarding their socio-demographic data, the present study showed that the mean age among study and control groups was nearly similar percentages (62.9 ± 2.1 years, 61.8 ± 2.0 years) respectively. As regard to marital status; it was founded that more than half of studied group and one third of control group were married.…”

Section: Discussionmentioning

confidence: 54%

Effect of Nursing Guidelines for Buttonhole Cannulation Technique of Arteriovenous Fistula on Reducing its Complications among Hemodialysis Patients

Hosney

Mohammed²,

Mohammed³

2022

Minia Scientific Nursing Journal

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Background: End stage of kidney disease (ESKD) the last stage of renal failure and can develop from untreated chronic kidney disease. The study aimed to evaluate the effect of nursing guidelines for Buttonhole cannulation technique of arteriovenous on reducing its complications among hemodialysis patients. Research design: This research employed a quasi-experimental methodology. Setting: The study was conducted in Minia University at Nephrology and Urology Hospital at Hemodialysis Units. Subjects of the study: A purposive sample composed of sixty patients going for hemodialysis, study participants was classified equally for both study and control groups (thirteen for each one).Tools of data collection In order to conduct the current study, four data gathering methods were employed, including; A Structured interviewing questionnaire sheet, Pain assessment scale, Observational Checklist for Manifestation of infection and hematoma and assessment sheet for Laboratory investigation of kidney function. Results: the findings of the study indicated that 13.3% among the study group & 36.7% of the control group were had hematoma at 1st week of HD after the application of study guidelines, while 3.3% & 86.7% among both groups were had hematoma at the fourth week of HD after the application of study guidelines respectively. Conclusion: Buttonhole study guidelines was had positive impact on hemodialysis complications (pain, infection, hematoma, vital signs) for study group in first and fourth week in hemodialysis sessions in-comparison with control group. Recommendations: Increase awareness through nursing staff of hemodialysis patients and caregivers regard self-care related to vascular access and encourage patient participation in health education programs about evidencebased practice regard hemodialysis care at home.

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Section: Discussionmentioning

confidence: 54%

Effect of Nursing Guidelines for Buttonhole Cannulation Technique of Arteriovenous Fistula on Reducing its Complications among Hemodialysis Patients

Hosney

Mohammed²,

Mohammed³

2022

Minia Scientific Nursing Journal

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“…This technique has been advocated because it reduces pain and decreases the formation of aneurysms and hematomas. However, infection is the main complication mentioned [8,11,12,29]. The need to make a tunnel by the same nurse over the period of 4 or 5 weeks can also be an obstacle to the implementation of this technique.…”

Section: Advantages Disadvantagesmentioning

confidence: 99%

“…Three cannulation techniques for arteriovenous access for hemodialysis are available: area cannulation, rope-ladder cannulation, and buttonhole cannulation [2,8,9]. Area cannulation is associated with the appearance of a greater number of stenosis areas [4,10], whereas the buttonhole technique is associated with fewer hematomas and less pain during cannulation but higher infection rates [4,[11][12][13] and the ropeladder technique is associated with greater difficulty in cannulation, greater pain, and the formation of hematomas [11,14].…”

Section: Introductionmentioning

confidence: 99%

How to choose the appropriate cannulation technique for vascular access in hemodialysis patients

et al. 2023

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The cannulation technique is important for the survival of the arteriovenous access. Choosing the appropriate technique is a complex decision. Such choice must be customized to patients, considering their characteristics, the type of arteriovenous access and the experience of the hemodialysis team. We describe seven items that can help nurses to identify the appropriate cannulation technique: type of arteriovenous access; drainage vein; hygienic self-care profile; experience of the nursing staff in the cannulation technique and nurse-topatient ratio; hemodialysis treatment method; patient's condition; and patient's decision. Such items can help nurses in decision-making on the "ideal" cannulation technique for each patient.

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“…A limitation of our study is the low prevalence of some of the items on the WAHVAC instrument which limited assessment of reliability for these variables. For example, there were no patients in the buttonhole establishment phase which can be explained by it being a technique not common in Australia and predominantly used in Europe and Japan (Vachharajani et al, 2020). Another limitation to the study, is the number of area cannulations used, as area cannulations weaken the fistula wall (Parisotto et al, 2014).…”

Section: Implications For Clinical Practicementioning

confidence: 99%

The development of the Western Australian Haemodialysis Vascular Access Complexity instrument

Coventry

Hosking

Coral

et al. 2021

Journal of Renal Care

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Background: The Western Australian Haemodialysis Vascular Access Classification instrument was developed to classify the cannulation complexity of the arteriovenous fistula or arteriovenous graft as simple, challenging, or complex. Although the instrument was developed by experts in haemodialysis nursing, the instrument had not undergone formal validity or reliability testing. Objectives: Evaluate the Western Australian Haemodialysis Vascular Access Classification instrument for content validity, interrater and test-retest reliability. Design: Prospective cohort study. Participants: Content validity was assessed by haemodialysis nursing experts (n = 8). The reliability testing occurred in one in-centre and one satellite haemodialysis unit in Western Australia from September to November 2019. Reliability testing was performed by 38 haemodialysis nurses in 67 patients receiving haemodialysis and 247 episodes of cannulation. Measurements: Interrater and test-retest reliability assessment was conducted using κ, adjusted κ, Bland-Altman plots, intraclass correlation coefficient and Pearson's correlation coefficient. Results: The final version of the instrument (n = 20 items) had individual item-level content validity indices ranging from 0.625 to 1.00 with a scale-level content validity index of 0.89. For both interrater (n = 172 pairs) and test-retest (n = 101 pairs), most individual variables had excellent adjusted κ (n = 33 variables), some fair to good agreement (n = 6 variables) and one variable with poor agreement. The classification of simple, challenging and complex demonstrated adjusted κ of fair to good, to excellent agreement for interrater reliability with lower levels of agreement for test-retest reliability.Conclusions: This instrument may be used to match a competency-assessed nurse to perform the cannulation thereby minimising the risk of missed cannulation and trauma.

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Buttonhole Cannulation of Arteriovenous Fistulas in the United States

Cited by 10 publications

References 20 publications

Effect of Nursing Guidelines for Buttonhole Cannulation Technique of Arteriovenous Fistula on Reducing its Complications among Hemodialysis Patients

Effect of Nursing Guidelines for Buttonhole Cannulation Technique of Arteriovenous Fistula on Reducing its Complications among Hemodialysis Patients

How to choose the appropriate cannulation technique for vascular access in hemodialysis patients

The development of the Western Australian Haemodialysis Vascular Access Complexity instrument

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