Summary of the EDTNA|ERCA Journal Club discussion: Summer 2005

Lindley, Elizabeth; James, Ray; Wright, Gary; Milo, Elisheva; Goench, Melissa; Gorke, Aloïs; Hyde, Ruth; Ross, Jackie; Pegoraro, Marisa; Tattersall, James; Vélez, Esperanza Vélez; Ward, Richard A.; Harrington, Maurice; Thomson, Di; Murphy, Anne; Farquhar, Gordon; Vos, Jean‐Yves De; Hansen, Susan; Murcutt, Gareth; Hoenich, Nic; Hardy, Freddy; Shaldon, Stanley; Polaschegg, Hans D.; Stragier, André; Lopot, Franta; Perkins, Lenora; Lansing, Christine; Page, A; Agar, John; Cole, Dick; Sedgewick, John; Fischbach, Lee; Küntzle, Waltraud; Sandroni, Stephen

doi:10.1111/j.1755-6686.2005.tb00434.x

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…The materials used will vary between units, but there should always be a chevron of tape to anchor the needle against any tugging on the tubing. Blood lines should be looped loosely to allow movement of the patient and to prevent blood lines pulling on the needles The technique used to secure the blood lines plays an important role in preventing VND. Blood lines should always be looped loosely to allow the patient to move without the blood lines pulling on the needles.Blood lines should never be fixed to the dialysis chair or bed, or to cushions, as movement of the patient or the equipment could result in needle dislodgement (Lindley et al 2005). If it is necessary to reposition a needle, all taping should be replaced When repositioning a needle during dialysis, the old tape should be discarded and completely replaced with new tape. Staff‐to‐patient ratio should be adequate to allow routine monitoring of vascular access during treatment There should always be enough staff on duty to allow regular checks to be made of the vascular access and the connections between the needle (or catheter) tubing and the blood lines.…”

Section: Practice Recommendationsmentioning

confidence: 99%

“…Blood lines should never be fixed to the dialysis chair or bed, or to cushions, as movement of the patient or the equipment could result in needle dislodgement (Lindley et al 2005).…”

Section: Practice Recommendationsmentioning

confidence: 99%

“…In the past, particularly for nocturnal home HD, enuresis (bed‐wetting) monitors have been used. Anecdotal evidence suggests that blood leakage can be detected by enuresis monitors (Lindley et al 2005) though they have not been tested and approved for this purpose. In vitro tests have shown that these devices may fail to respond to volumes of up to 250 ml blood (Sandroni et al 2008).…”

Section: Practice Recommendationsmentioning

confidence: 99%

See 2 more Smart Citations

Venous Needle Dislodgement: How to Minimise the Risks

Waeleghem

Chamney

Lindley

et al. 2008

Journal of Renal Care

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Section: Practice Recommendationsmentioning

confidence: 99%

“…Blood lines should never be fixed to the dialysis chair or bed, or to cushions, as movement of the patient or the equipment could result in needle dislodgement (Lindley et al 2005).…”

Section: Practice Recommendationsmentioning

confidence: 99%

Section: Practice Recommendationsmentioning

confidence: 99%

See 1 more Smart Citation

Venous Needle Dislodgement: How to Minimise the Risks

Waeleghem

Chamney

Lindley

et al. 2008

Journal of Renal Care

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“…The working principle is a single-point needle detector that differentiates between blood and colorless liquids according to the reflection of infrared light. In clinical applications, the fluid leakage has to exceed 1 mL before being detected [9].…”

Section: Introductionmentioning

confidence: 99%

Real-Time Internet of Medical Things System for Detecting Blood Leakage during Hemodialysis Using a Novel Multiple Concentric Ring Sensor

Chih-Hao²,

et al. 2022

Sensors

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Venous needle dislodgement (VND) is a major healthcare safety concern in patients undergoing hemodialysis. Although VND is uncommon, it can be life-threatening. The main objective of this study was to implement a real-time multi-bed monitoring system for VND by combining a novel leakage-detection device and IoMT (Internet of Medical Things) technology. The core of the system, the Acusense IoMT platform, consisted of a novel leakage-detection patch comprised of multiple concentric rings to detect blood leakage and quantify the leaked volume. The performance of the leakage-detection system was evaluated on a prosthetic arm and clinical study. Patients with a high risk of blood leakage were recruited as candidates. The system was set up in a hospital, and the subjects were monitored for 2 months. During the pre-clinical simulation experiment, the system could detect blood leakage volumes from 0.3 to 0.9 mL. During the test of the IoMT system, the overall success rate of tests was 100%, with no lost data packets. A total of 701 dialysis sessions were analyzed, and the accuracy and sensitivity were 99.7% and 90.9%, respectively. Evaluation questionnaires showed that the use of the system after training changed attitudes and reduced worry of the nursing staff. Our results show the feasibility of using a novel detector combined with an IoMT system to automatically monitor multi-bed blood leakage. The innovative concentric-circle design could more precisely control the warning blood-leakage threshold in any direction to achieve clinical cost-effectiveness. The system reduced the load on medical staff and improved patient safety. In the future, it could also be applied to home hemodialysis for telemedicine during the era of COVID-19.

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“…A survey by Axley et al [5] reported that up to 76.6% of respondents had witnessed VND during HD in the previous 5 years, 57.9% indicated that they were concerned about VND very often or often, and 85.3% considered education material beneficial for the reduction of VND risk. Two studies published in 2005 warned that although VND is not an extremely common occurrence, it could be life-threatening or even cause death [6,7]. In 2012, the American Nephrology Nurses Association established a team to examine the occurrence and consequences of VND, as well as to propose measures for medical personnel, patients with kidney disease, and patients’ families to prevent VND.…”

Section: Introductionmentioning

confidence: 99%

A Clinical Trial of the Effect of a Blood Leakage Detection Device for Patients during Hemodialysis

Ciou

et al. 2019

IJERPH

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In hemodialysis, vascular access is usually achieved through an arteriovenous fistula, and a dislodged needle can cause varying degrees of injury to patients. In severe cases, the loss of blood can prove to be fatal. This study proposed a blood leakage detection device for patients during hemodialysis (HD). First, the device was tested on a phantom arm, and later in a clinical test on patients receiving HD. The thoughts of the patients and the nursing staff involved were surveyed before and after the introduction of the device. Analysis of the results indicated that the device achieved 100% and 98.9% accuracy rates on the phantom arm test and clinical test, respectively. The results suggested that patients believed the device could reduce their mental anxiety, and the nursing staff considered the device reliable and that it would enhance the quality of care. The proposed detection device can be extended to similar applications for preventing catheter dislodgement, and to improve patient safety and reduce the stress of clinical nursing staff.

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Summary of the EDTNA|ERCA Journal Club discussion: Summer 2005

Cited by 7 publications

References 14 publications

Venous Needle Dislodgement: How to Minimise the Risks

Venous Needle Dislodgement: How to Minimise the Risks

Real-Time Internet of Medical Things System for Detecting Blood Leakage during Hemodialysis Using a Novel Multiple Concentric Ring Sensor

A Clinical Trial of the Effect of a Blood Leakage Detection Device for Patients during Hemodialysis

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