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Tytuł pozycji:

Effect of the arterial needle bevel position on puncture pain and postremoval bleeding time in hemodialysis patients: A self-controlled, single-blind study.

Tytuł:
Effect of the arterial needle bevel position on puncture pain and postremoval bleeding time in hemodialysis patients: A self-controlled, single-blind study.
Autorzy:
Ozen N; Florence Nightingale Hospital School of Nursing, Demiroglu Bilim University, Istanbul, Turkey.
Tosun B; Department of Nursing, Hasan Kalyoncu University Faculty of Health Sciences, Gaziantep, Turkey.
Sayilan AA; Nursing Department, Kirklareli University School of Health Science, Kirklareli, Turkey.
Eyileten T; Division of Dialysis, Department of Medical Services and Techniques, Kapadokya University, Kapadokya Vocational School, Nevşehir, Turkey.
Ozen V; Department of Anesthesiology and Reanimation, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.
Ecder T; Division of Nephrology, Department of Internal Medicine, Demiroglu Bilim University, Istanbul, Turkey.
Tosun N; Department of Nursing, Faculty of Health Sciences, Hasan Kalyoncu University, Gaziantep, Turkey.
Źródło:
Hemodialysis international. International Symposium on Home Hemodialysis [Hemodial Int] 2022 Oct; Vol. 26 (4), pp. 503-508. Date of Electronic Publication: 2022 Sep 06.
Typ publikacji:
Journal Article; Randomized Controlled Trial
Język:
English
Imprint Name(s):
Publication: <2003-> : Malden, MA : Blackwell Pub.
Original Publication: Milton, ON : Multimed Inc., c2000-
MeSH Terms:
Arteriovenous Shunt, Surgical*
Needles*
Bleeding Time ; Humans ; Pain/etiology ; Punctures ; Renal Dialysis ; Single-Blind Method
References:
Marticorena RM, Donnelly SM. Impact of needles in vascular access for hemodialysis. J Vasc Access. 2016;17(Suppl 1):S32-7. https://doi.org/10.5301/jva.5000534.
Aitken E, McLellan A, Glen J, Serpell M, Mactier R, Clancy M. Pain resulting from arteriovenous fistulae: prevalence and impact. Clin Nephrol. 2013;80:328-33. https://doi.org/10.5414/CN107917.
Alzaatreh MY, Abdalrahim MS. Management strategies for pain associated with arteriovenous fistula cannulation: an integrative literature review. Hemodial Int. 2020;24:3-11. https://doi.org/10.1111/hdi.12803.
Schmidli J, Widmer MK, Basile C, de Donato G, Gallieni M, Gibbons CP, et al. Editor's choice - vascular access: 2018 clinical practice guidelines of the european society for vascular surgery (ESVS). Eur J Vasc Endovasc Surg. 2018;55:757-818. https://doi.org/10.1016/j.ejvs.2018.02.001.
Matos J, Furlan A, Costa Pinto B, et al. Needle removal and haemostasis. In: Parisotto M, Pancirova J, editors. Vascular access cannulation and care - a nursing best practice guide for arteriovenous fistula. 1st ed. Madrid: Toma's Hermanos; 2014. p. 86-90.
Jose MD, Marshall MR, Read G, Lioufas N, Ling J, Snelling P, et al. Fatal dialysis vascular access hemorrhage. Am J Kidney Dis. 2017;70:570-5. https://doi.org/10.1053/j.ajkd.2017.05.014.
Awobusuyi JO, Mapayi FA, Adedolapo A. Blood loss during vascular access cannulation: quantification using the weighed gauze and drape method. Hemodial Int. 2008;12:90-3. https://doi.org/10.1111/j.1542-4758.2008.00247.x.
Lin CL, Chen HY, Huang SC, Hsu SP, Pai MF, Peng YS, et al. Increased blood loss from access cannulation site during hemodialysis is associated with anemia and arteriovenous graft use. Ther Apher Dial. 2014;18:51-6. https://doi.org/10.1111/1744-9987.12026.
Boulanger H, Ahriz-Saksi S, Flamant M, Vigeral P. Evaluation of post-puncture bleeding time of arteriovenous fistulas with IRIS® bandage. J Vasc Access. 2014;15:102-7. https://doi.org/10.5301/jva.5000176.
Ball L, Dilon T, Dinwiddie L, Holland J. Core curriculum for the dialysis technician: a comprehensive review of hemodialysis. 5th ed. Madison: Medical Education Institute; 2012.
Crespo Montero R, Rivero Arellano F, Contreras Abad MD, Martínez Gómez A, Fuentes Galán MI. Pain degree and skin damage during arterio-venous fistula puncture. EDTNA ERCA J. 2004;30:208-12. https://doi.org/10.1111/j.1755-6686.2004.tb00369.x.
Crespo R. Influence of bevel position of the needle on puncture pain in hemodialysis. J Eur Dial Transpl Nurs Assoc. 1994;4:21-3.
Akyol Durmaz A, Mertbilek A, Kara L, Karadeniz D. Determination of the effect of access techniques used during arteriovenous fistula cannulation procedure on pain level. J Nephrol Nurs. 2015;10:10-8.
BC Renal Hemodialysis Committee. Care of needling sites post hemodialysis for fistulas & grafts (hemostasis). Updated 2020. http://www.bcrenalagency.ca/resource-gallery/Documents/CareofNeedlingSitesPostHemodialysisforFistulasGrafts(Hemostasis).pdf.
Price DD, Bush FM, Long S, Harkins SW. A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain. 1994;56:217-26. https://doi.org/10.1016/0304-3959(94)90097-3.
Eti AF. The sensitivity and selectivity of the visual analog scale and the verbal rating scale in the assessment of postoperative pain. J Intensive Care Nurs. 2004;8:1-6.
Min SW, Cho HR, Jeon YT, Oh AY, Park HP, Yang CW, et al. Effect of bevel direction on the success rate of ultrasound-guided radial arterial catheterization. BMC Anesthesiol. 2016;16:34. https://doi.org/10.1186/s12871-016-0202-5.
Gaspar LJ, Moreira NM, Moutinho AA, Pinto PJ, Lima HB, Rodrigues F. Puncture of the arteriovenous fistula: bevel upward or bevel downward? EDTNA ERCA J. 2003;29:104. https://doi.org/10.1111/j.1755-6686.2003.tb00284.x.
Lim T, Ryu HG, Jung CW, Jeon Y, Bahk JH. Effect of the bevel direction of puncture needle on success rate and complications during internal jugular vein catheterization. Crit Care Med. 2012;40:491-4. https://doi.org/10.1097/CCM.0b013e318232da48.
Entry Date(s):
Date Created: 20220906 Date Completed: 20221005 Latest Revision: 20221029
Update Code:
20240105
DOI:
10.1111/hdi.13044
PMID:
36068183
Czasopismo naukowe
Aim: This study aimed to investigate the effect of the bevel orientation (facing upwards or downwards towards the skin) of the needle inserted into the arterial limb of the arteriovenous fistula (AVF) on puncture pain and postremoval bleeding time.
Methods: This study, using a single-blind crossover design, was conducted on 35 maintenance hemodialysis patients who had been dialyzed for at least 6 months and in whom blood access was via an AVF. AVF cannulation was performed with the needle bevel pointing upward in the first six sessions and the needle bevel pointing downwards (towards the skin) in the subsequent six sessions. Needles were always inserted in the direction of blood flow. At each dialysis session, cannulation pain was measured using a visual analog scale (VAS), and the bleeding time at the end of dialysis after needle removal was recorded.
Findings: The VAS score and postremoval bleeding time were lower when the needle bevel pointed downwards towards the skin during insertion (P < 0.05).
Discussion: Insertion of the needle with the bevel pointed downward decreased puncture pain during cannulation and bleeding time postdialysis on needle removal.
(© 2022 International Society for Hemodialysis.)

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