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Plastic cannula use in hemodialysis access

Smith, Vicki and Schoch, Monica 2016, Plastic cannula use in hemodialysis access, Journal of vascular access, vol. 17, no. 5, pp. 405-410, doi: 10.5301/jva.5000521.

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Title Plastic cannula use in hemodialysis access
Author(s) Smith, Vicki
Schoch, Monica
Journal name Journal of vascular access
Volume number 17
Issue number 5
Start page 405
End page 410
Total pages 6
Publisher Wichtig Publishing
Place of publication Milan, Italy
Publication date 2016-09
ISSN 1129-7298
1724-6032
Keyword(s) cannulation
dialysis
plastic cannula
renal
vascular
Summary INTRODUCTION: Successful cannulation of arteriovenous fistula (AVF) or arteriovenous graft (AVG) is an important concept in hemodialysis. Metal needles have been used for cannulation in dialysis for over 50 years. Plastic cannula for dialysis is currently being introduced into Australia. AIMS: To identify if the implementation of plastic cannula could decrease the amount of miscannulations and adverse events in AVFs at first cannulation.

METHODS: Train all staff in the Barwon Health renal department in the new technique of plastic cannula insertion and implement a new protocol for cannulation of AVFs in the first two weeks of dialysis.

RESULTS: The training process took 12 months longer than anticipated due to issues with 'expert' to 'novice' reservations from staff, but initial results are positive with the statewide key performance indicator of new patients using AVF at first dialysis rising from 50% in 2013 to 78% in 2015. Staff were significantly more successful cannulating with plastic cannula in patients who had AVF only (67% success) than those who had a CVC alternative (24% success).

CONCLUSIONS: Plastic cannulas offer a new and innovative way to cannulate AVFs and with time, expertise and training can be utilized to provide a successful cannulation program for patients starting hemodialysis with AVFs.
Language eng
DOI 10.5301/jva.5000521
Field of Research 111002 Clinical Nursing: Primary (Preventative)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Wichtig Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089528

Document type: Journal Article
Collection: School of Nursing and Midwifery
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