Vascular access surveillance : the role of the access nurse in the renal dialysis unit.

Schoch, Monica and McClure, David 2007, Vascular access surveillance : the role of the access nurse in the renal dialysis unit., in Vascular 2007 : Proceedings, [The Meeting], [Melbourne, Vic.], pp. 1-3.

Attached Files
Name Description MIMEType Size Downloads

Title Vascular access surveillance : the role of the access nurse in the renal dialysis unit.
Author(s) Schoch, MonicaORCID iD for Schoch, Monica
McClure, David
Conference name Vascular 2007 Meeting (2007 : Melbourne, Vic.)
Conference location Melbourne, Vic
Conference dates 17-22 Aug. 2007
Title of proceedings Vascular 2007 : Proceedings
Editor(s) [unknown]
Publication date 2007
Conference series Vascular Meeting
Start page 1
End page 3
Total pages 3
Publisher [The Meeting]
Place of publication [Melbourne, Vic.]
Keyword(s) vascular access
renal dialysis unit
Summary Introduction
In January 2006, the Renal Dialysis Unit at Geelong Hospital appointed a Vascular Access Nurse. A Transonic Flow Qc HDO2 Ultrasound Dilution Monitor was purchased to monitor access flow and recirculation in arteriovenous fistulae in an attempt to predict AVF stenoses requiring early surgical correction.

A bi-monthly monitoring program tested all facility-based patients. 82 patients were assessed for access flow and recirculation between February and December 2006.

18 (22%) had poor AVF function; 13 with access flows <500ml/minute on initial testing and 5 with an access flow decreasing >25% over a four month period. Of the 18 patients shown to have poor access flow, 2 died within one month of measurement while 5 were too frail to attempt corrective surgery. The remaining 11 proceeded to ultrasound or fistulography. A >50% stenosis was detected in all 11 cases. Of these, 4 had successful vein patch surgery and one had PTFE grafting, each with marked improvement in access flow. One had failed vein patch surgery requiring creation of a femoral AVF, one patient required cvc insertion to await AVF creation, and one had failed stenting requiring a permanent cvc. 3 died before planned surgery.

5 of the 82 patients that had access flow assessment, and needed further evaluation, proceeded to successful pre-emptive surgical intervention. We believe the Transonic is a useful adjunct to routine clinical AVF surveillance, in providing early evidence of AVF failure that can be avoided by pre-emptive surgery.

Notes Winner of 'Best Presentation' Award (Nursing)
The Vascular 2007 meeting, held at the Melbourne Exhibition & Convention Centre from the 17th to the 22nd of August 2007 is a combined meeting of: The Australian and New Zealand Society for Vascular Surgery; The ANZSVS Vascular Imaging Symposium; The Victorian Chapter of the Society for Vascular Nurses Seminar; and The ANZ Chapter of the International Union of Angiology.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category E2.1 Full written paper - non-refereed / Abstract reviewed
Persistent URL

Document type: Conference Paper
Collections: Faculty of Health
School of Nursing and Midwifery
Connect to link resolver
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 222 Abstract Views, 6 File Downloads  -  Detailed Statistics
Created: Tue, 31 Jul 2012, 12:24:59 EST by Monica Schoch

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact