Hemodialysis Complication Clinical Trial
Official title:
Handheld Ultrasound-guided Cannulation of Difficult Haemodialysis Arteriovenous Access by Renal Nurses - A Randomised Controlled Trial
Verified date | June 2022 |
Source | National Healthcare Group, Singapore |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Cannulation of complex arteriovenous fistula (AVF) or graft (AVG) is a challenge to renal nurses. Ultrasound (US) guidance on central and peripheral venous access visualisation has been widely adopted in nephrology and shown to reduce complications of vascular interventions. With broader adoption of handheld US devices in clinical services, renal nurses could acquire this point-of-care technique to increase the successful cannulation rate while facilitating confidence build-up during training and practice. We aim to evaluate the use of handheld US on difficult AVF/AVG cannulation in a hospital-based dialysis unit.
Status | Completed |
Enrollment | 50 |
Est. completion date | January 31, 2022 |
Est. primary completion date | January 31, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 21 Years to 90 Years |
Eligibility | Inclusion Criteria: 1. First-time cannulation, 2. Post-angioplasty or thrombectomy, 3. Partial stenosis confirmed with imaging or by vascular surgeons/interventional radiologists, 4. Failed cannulation by dialysis nurses at community centres, 5. Bruises or haematoma around AVF/AVG, 6. Presence of clots in AVF/AVG and 7. Deep-seated access by physical examination. Exclusion Criteria: complex access with a high risk of complications (calibre =0.4cm or vessels =0.8cm in depth from skin) |
Country | Name | City | State |
---|---|---|---|
Singapore | Allen Liu | Singapore |
Lead Sponsor | Collaborator |
---|---|
National Healthcare Group, Singapore |
Singapore,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | percentage of successful cannulation | from skin contact to actual start of dialysis | ||
Secondary | pre-cannulation assessment time | time taken to assess the AVF/AVG with either US or clinical examination before cannulation | from patient physical contact to the time before needling thru skin | |
Secondary | cannulation time | skin contact by needle to succesful aspiration of blood from needle | ||
Secondary | patients' pain score | 10cm visual analogue scale | needle to skin to end of dialysis session | |
Secondary | complications | need for a temporary central venous catheter, single-needle dialysis, or infiltration (e.g. haematoma) that hastened the use of AVF/AVG for the same dialysis session | from skin contact to actual start of dialysis |
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