Pain on arteriovenous fistula cannulation: A narrative review

Kosmadakis, George; Amara, Ibrahim; Costel, Ghania

doi:10.1111/sdi.12979

Cited by 11 publications

(12 citation statements)

References 52 publications

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“…These findings suggest that pain associated with vascular access cannulation is a common concern for patients undergoing haemodialysis. However, the severity of pain reported can vary across studies [ 6 , 11 , 13 , 14 , 15 ]. In the present study, the mean pain level reported by the participants was consistent with the mild-to-moderate pain reported in previous research [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…The main cannulation techniques are rope-ladder, buttonhole, and puncture [ 4 , 5 ]. It is estimated that an average haemodialysis patient undergoes 312 cannulations per year [ 6 ]. This procedure harms the patient and provokes anxiety due to fear, pain, and distress [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…HD nurses need good cannulation skills to minimise anxiety and pain. Pain in HD patients ranges between 12% and 80%, and is a daily challenge for nursing care [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients

Dinis

Sousa

2023

Nursing Reports

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Background: Pain in patients under haemodialysis affects the quality of life of chronic renal patients. Distraction has been effective in controlling pain induced by the insertion of needles. Once applied adequately, distraction promotes endorphin release, with efficacy in acute pain management. This study evaluates pain perception while puncturing the haemodialysis device, using an anti-stress ball as a distraction strategy. Methods: This study is a retrospectively registered pilot randomised controlled trial of 47 chronic renal patients undergoing regular haemodialysis programs in a dialysis unit, in the central region of Portugal. Patients were randomly allocated into control and intervention groups. The intervention group received an anti-stress ball on the opposite limb of the vascular access, while the control group underwent pain evaluation without any intervention. Pain was monitored using a numeric pain scale. The study aimed to evaluate pain during vascular access cannulation and explore the potential benefits of using an anti-stress ball to reduce this pain. Results: Patients in the intervention group experienced significantly lower pain scores (−1.23; p < 0.05) during vascular access cannulation compared to the control group (−0.51). Conclusion: Distraction through an anti-stress ball reduces the perception of pain experienced by the chronic renal patients undergoing haemodialysis. However, the trial’s retrospective registration may introduce a risk of selective-outcome reporting. Further research with prospectively registered trials is recommended to validate the findings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients

Dinis

Sousa

2023

Nursing Reports

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“…Second, this study also evaluated the analgesic effect of music when used in conjunction with other analgesics. Topical analgesics are widely used during hemodialysis to relieve cannulation pain (26). The previously mentioned study had issues with external validity because patients using analgesics were excluded from analysis (Supplemental a The prescription dry body weight for dialysis is the weight at which the patient's volume status is neither overhydrated nor underhydrated.…”

Section: Discussionmentioning

confidence: 99%

Effect of Music in Reducing Pain during Hemodialysis Access Cannulation

Inayama

Yamada

Kishida

et al. 2022

CJASN

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Background and objectivesPain during cannulation for vascular access is a considerable problem for patients with kidney disease who are undergoing hemodialysis. We examined whether listening to music can reduce cannulation pain in these patients.Design, setting, participants, & measurementsWe conducted a multicenter, single-blind, crossover, randomized trial of 121 patients who reported pain during cannulation for hemodialysis. We compared participants listening to “Sonata for Two Pianos in D Major, K.448” or white noise as control while undergoing the cannulation procedure. The cannulation operator was blinded to the intervention, and the hypothesized superiority of music over white noise was concealed during explanations to the participants. The primary end point was the visual analog scale score for cannulation pain independently evaluated by participants.ResultsThe primary analysis was on the basis of the modified intention-to-treat principle. The median baseline visual analog scale pain score was 24.7 mm (interquartile range, 16.5–42.3). Median change of the visual analog scale pain score from the “no sound” to the music period was −2.7 mm (interquartile range, −9.2 to 3.6), whereas it was −0.3 mm (interquartile range, −5.8 to 4.5) from “no sound” to white noise. The visual analog scale pain score decreased when listening to music compared with white noise. (Adjusted difference of visual analog scale pain score: −12%; 95% confidence interval, −21 to −2; P=0.02.) There were no significant differences in the secondary outcomes of anxiety, BP, or stress assessed by salivary amylase (adjusted difference of visual analog scale anxiety score −8%, 95% confidence interval, −18 to 4; P=0.17). No intervention-related adverse events were reported.ConclusionsListening to music reduced cannulation pain in patients on hemodialysis, although there was no significant effect on anxiety, BP, or stress markers.

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“…Patients receiving dialysis have severely decreased quality of life, 28 and pain is reported as one of the essential outcomes for the majority of patients with chronic kidney disease. 29 , 30 Several studies have found that patients cannulated with the buttonhole technique experience less pain compared with the rope-ladder technique. 31 However, not all studies have confirmed this.…”

Section: Discussionmentioning

confidence: 99%

Direction- and Angle-Assisted Buttonhole Cannulation of Arteriovenous Fistula in Hemodialysis Patients: A Multicenter Randomized Controlled Trial

et al. 2022

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Pain on arteriovenous fistula cannulation: A narrative review

Cited by 11 publications

References 52 publications

A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients

A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients

Effect of Music in Reducing Pain during Hemodialysis Access Cannulation

Direction- and Angle-Assisted Buttonhole Cannulation of Arteriovenous Fistula in Hemodialysis Patients: A Multicenter Randomized Controlled Trial

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