J Korean Crit Care Nurs.  2018 Feb;11(1):28-34. 10.0000/jkccn.2018.11.1.28.

The effect of Arteriovenous Fistula Cannulation Direction and Puncture Distance on the Recirculation Rate of Hemodialysis Patients

• Lim HJ
• Choi EH
• Kim EJ
• Jeong JY
• Ban SS

• KMID: 2407169
• DOI: http://doi.org/10.0000/jkccn.2018.11.1.28

Abstract

PURPOSE
The purpose of this study was to compare the effect of recirculation rate according to cannulation direction and interval among hemodialysis patients with arteriovenous fistula (AVF). METHOD: The research used repeated measures design. This study was conducted among thirty patients who received hemodialysis three times a week for longer than a year through AVF at the I University hospital. Three different types of interventions were administered to the participants each week for three weeks. Needles were placed at a different distance and in a different direction each week: 7 cm apart from each other in antegrade direction during the first week, 5 cm apart in retrograde direction in the following week, and 7 cm apart in retrograde direction in the third week.
RESULTS
No significant differences in the recirculation rate were found due to any of the three tested methods (p = 1.00).
CONCLUSION
This finding suggests that, if the patients have well-functioned AVF, we can choose an appropriate intervention from among the three methods in consideration of the patient's diverse needs.

Keyword

Hemodialysis; Arteriovenous fistula; Puncture

MeSH Terms

Arteriovenous Fistula*
Catheterization*
Humans
Methods
Needles
Punctures*
Renal Dialysis*