Current Hemodialysis Techniques

Ball, Lynda

doi:10.1007/978-3-319-40061-7_19

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Enterococcus and candida species also play a role in CRI. These pathogens are skin flora microorganisms and they can form biofilm 73 . In CRI, fungal isolates are less common (10%) than other gram‐negative microorganisms 74 .…”

Section: Catheter‐related Infections (Cri)mentioning

confidence: 99%

Surface modification strategies for hemodialysis catheters to prevent catheter‐related infections: A review

et al. 2020

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Insertion of a central venous catheter is one of the most common invasive procedures applied in hemodialysis therapy for end‐stage renal disease. The most important complication of a central venous catheter is catheter‐related infections that increase hospitalization and duration of intensive care unit stay, cost of treatment, mortality, and morbidity rates. Pathogenic microorganisms, such as, bacteria and fungi, enter the body from the catheter insertion site and the surface of the catheter can become colonized. The exopolysaccharide‐based biofilms from bacterial colonies on the surface are the main challenge in the treatment of infections. Catheter lock solutions and systemic antibiotic treatment, which are commonly used in the treatment of hemodialysis catheter‐related infections, are insufficient to prevent and terminate the infections and eventually the catheter needs to be replaced. The inadequacy of these approaches in termination and prevention of infection revealed the necessity of coating of hemodialysis catheters with bactericidal and/or antiadhesive agents. Silver compounds and nanoparticles, anticoagulants (e.g., heparin), antibiotics (e.g., gentamicin and chlorhexidine) are some of the agents used for this purpose. The effectiveness of few commercial hemodialysis catheters that were coated with antibacterial agents has been tested in clinical trials against catheter‐related infections of pathogenic bacteria, such as Staphylococcus aureus and Staphylococcus epidermidis with promising results. Novel biomedical materials and engineering techniques, such as, surface micro/nano patterning and the conjugation of antimicrobial peptides, enzymes, metallic cations, and hydrophilic polymers (e.g., poly [ethylene glycol]) on the surface, has been suggested recently.

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Section: Catheter‐related Infections (Cri)mentioning

confidence: 99%

Surface modification strategies for hemodialysis catheters to prevent catheter‐related infections: A review

et al. 2020

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“…and often done in the lower portion of the nondominant arm but can be done in the upper arm as well (Harwood, Wilson & Goodman, 2017). During hemodialysis, two needles are inserted into the arteriovenous fistula to allow blood flow out of the body to the machine through one needle and the other needle allows blood flow back into the arteriovenous fistula (Ball, 2017).…”

Section: Introductionmentioning

confidence: 99%

Cryotherapy Versus Lavender Oil Inhalation on Alleviating Arteriovenous Fistula Puncture Pain among Patients with Hemodialysis

Abdelhamid Mohammed Mahmoud,

Hussein Deep,

Ibrahim Ragab

et al. 2021

Egyptian Journal of Health Care

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The management of pain associated with arteriovenous fistula (AVF) puncture is crucial in nursing care and is regarded as one of the most challenging situations that nurses and patients undergoing hemodialysis (HD) face. Aim: evaluate the effect of cryotherapy versus lavender oil inhalation on alleviating arteriovenous fistula puncture pain among Hemodialysis Patients. This study applied Quasi-experimental research design. Setting: The study was carried out in Egypt's Menoufia University Hospital's dialysis unit. Subjects: The study involved a purposive sample of 60 patients receiving hemodialysis with AVF in the aforementioned setting. Three tools were utilized to gather the data; tool I: a structured interview questionnaire, tool II: Visual analogue Scale (VAS), and tool III: Physiological parameters assessment sheet. Results revealed that patients in the two groups (Cryotherapy and Lavender oil inhalation) experienced lower pain during AVF puncture in post application and follow up compared to preapplication. Additionally, patients in the cryotherapy group experienced lower degree of pain during AVF puncture than patients in the lavender oil inhalation group in post application and follow up of both, as the mean score of pain VAS was 2.63 during AVF puncture before application of cryotherapy in the 1 st visit and became 1.56 and 1.16 after application of cryotherapy in the 2 nd and 3 rd visit, respectively. However, the mean score of pain VAS was 2.46 during AVF puncture before inhalation of lavender oil in the 1 st visit and became 1.83, 1.8 after inhalation of lavender oil in the 2 nd and 3 rd visit, respectively. Conclusion: both cryotherapy and lavender oil inhalation positively affected AVF puncture pain among HD patients, but cryotherapy was more effective than lavender oil inhalation on alleviating AVF puncture pain. Recommendations: The application of cryotherapy for HD patients should be considered part of the routine care in HD units for alleviating AVF puncture pain.

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Current Hemodialysis Techniques

Cited by 2 publications

References 11 publications

Surface modification strategies for hemodialysis catheters to prevent catheter‐related infections: A review

Surface modification strategies for hemodialysis catheters to prevent catheter‐related infections: A review

Cryotherapy Versus Lavender Oil Inhalation on Alleviating Arteriovenous Fistula Puncture Pain among Patients with Hemodialysis

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