Arteriovenous fistula cannulation in hemodialysis: Constructing and validating a decision-making model

Authors

DOI:

https://doi.org/10.12707/RVI22021

Keywords:

nursing, arteriovenous fistula, renal dialysis, validation study

Abstract

Background: The arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis. Four different cannulation techniques can be used: Rope Ladder (RL), Buttonhole (BH), Multiple Single cannulation Technique (MuST), or Area Puncture (AP).

Objective: To build and validate a decision-making instrument for the optimal AVF cannulation technique in hemodialysis.

Methodology: This two-stage methodological study using the Delphi method was conducted between October 2021 and February 2022 with 27 experts. The decision-making instrument for choosing the cannulation technique was divided into four blocks: physical assessment, ultrasound assessment, vascular access graphical representation, and observations. The content validity index = 0.90 was used in the analysis.

Results: The instrument’s structure obtained the unanimous agreement of the experts and an overall content validity index of 0.94.

Conclusion: The instrument under analysis proved to have the face and content validity for nursing consultations.

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References

Alexandre, N., & Coluci, M. (2011). Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciencia e Saude Coletiva, 16(7), 3061–3068. https://doi.org/10.1590/S1413-81232011000800006

British Renal Society. (2018). Clinical practice recommendations for needling of arteriovenous fistulae and grafts for haemodialysis. https://vo2k0qci4747qecahf07gktt-wpengine.netdna-ssl.com/wp-content/uploads/2018/09/Clinical-Practice-Recommendations-for-Needling-of-Arteriovenous-Fistulae-and-Grafts-for-Haemodialysis.pdf

Correia, B., Brandão, M., Lopes, R., Silva, P., Zaccaro, K., Benevides, A., Duarte, S., & Silva, R. (2020). Avaliação clínica da maturação da fístula arteriovenosa para hemodiálise: Revisão de escopo. Acta Paulista de Enfermagem, 34, 1–11. https://doi.org/10.37689/acta-ape/2021AR00232

Fielding, C., Bramley, L., Stalker, C., Brand, S., Toft, S., & Buchanan, H. (2022). Patients’ experiences of cannulation of arteriovenous access for haemodialysis: A qualitative systematic review. The Journal of Vascular Access. https://doi.org/10.1177/11297298211067630

Hohmann, E., Cote, M. P., & Brand, J. C. (2018). Research pearls: Expert consensus based evidence using the Delphi Method. Arthroscopy: Journal of Arthroscopic and Related Surgery, 34(12), 3278–3282. https://doi.org/10.1016/j.arthro.2018.10.004

Humphrey-Murto, S., Varpio, L., Gonsalves, C., & Wood, T. J. (2017). Using consensus group methods such as Delphi and Nominal Group in medical education research. Medical Teacher, 39(1), 14–19. https://doi.org/10.1080/0142159X.2017.1245856

Ibeas, J., Roca-Tey, R., Vallespín, J., Moreno, T., Moñux, G., Monrós, A., Pozo, J., Gruss, E., Arellano, M., Fontseré, N., Arenas, M., Merino, J., Revillo, J., Caro, P., Espada, C., Gaibar, A., Fernández-Lucas, M., Valdés, P., Quesada, F., … Barba, Á. (2017). Spanish clinical guidelines on vascular access for haemodialysis. Nefrologia, 37(Suppl 1), 1–191. https://doi.org/10.1016/S2013-2514(19)30100-2

Kal, Ö., Duman, E., & Kal, A. (2020). Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique. Renal Replacement Therapy, 6(1), 1–7. https://doi.org/10.1186/s41100-020-00291-y

Kumbar, L., Ramani, K., & Brouwer-Maier, D. (2020). Considerations in access cannulation: Traditional and evolving approaches. Advances in Chronic Kidney Disease, 27(3), 199–207. https://doi.org/10.1053/j.ackd.2020.03.007

Lok, C. E., Huber, T. S., Lee, T., Shenoy, S., Yevzlin, A. S., Abreo, K., Allon, M., Asif, A., Astor, B. C., Glickman, M. H., Graham, J., Moist, L. M., Rajan, D. K., Roberts, C., Vachharajani, T. J., & Valentini, R. P. (2020). KDOQI clinical practice guideline for vascular access: 2019 update. American Journal of Kidney Diseases, 75(4), S1–S164. https://doi.org/10.1053/j.ajkd.2019.12.001

Marticorena, R. (2019). The impact of cannulation on the development of complications in vascular access for hemodialysis: The emerging role of real-time imaging [Doctoral dissertation, University of Toronto]. ProQuest Dissertations and Theses Global. https://search.proquest.com/docview/2322785048?accountid=14660

Parisotto, M. T., Schoder, V. U., Miriunis, C., Grassmann, A. H., Scatizzi, L. P., Kaufmann, P., Stopper, A., & Marcelli, D. (2014). Cannulation technique influences arteriovenous fistula and graft survival. Kidney International, 86(4), 790–797. https://doi.org/10.1038/ki.2014.96

Pasquali, L. (2010). Instrumentação psicológica: Fundamentos e práticas (2nd ed.). Artmed. Peralta, R., Fazendeiro, J., & Carvalho, H. (2021). Safe needling of arteriovenous fistulae in patients on hemodialysis: Literature review and a new approach. Nephrology Nursing Journal: Journal of the American Nephrology Nurses’ Association, 48(2), 169–176. https://doi.org/10.37526/1526-744x.2021.48.2.169

Pinto, R., Sousa, C., Salgueiro, A., & Fernandes, I. (2021). Arteriovenous fistula cannulation in hemodialysis: A vascular access clinical practice guidelines narrative review. Journal of Vascular Access, 23(5), 825-831. https://doi.org/10.1177/11297298211006972

Robbin, M. L., Greene, T., Allon, M., Dember, L. M., Imrey, P. B., Cheung, A. K., Himmelfarb, J., Huber, T. S., Kaufman, J. S., Radeva, M. K., Roy-Chaudhury, P., Shiu, Y.-T., Vazquez, M. A., Umphrey, H. R., Alexander, L., Abts, C., Beck, G. J., Kusek, J. W., & Feldman, H. I. (2018). Prediction of arteriovenous fistul clinical maturation from postoperative ultrasound measurements: Findings from the hemodialysis fistula maturation study. Journal of the American Society of Nephrology, 29(11), 2735–2744. https://doi.org/10.1681/ASN.2017111225

Schmidli, J., Widmer, M., Basile, C., de Donato, G., Gallieni, M., Gibbons, C., Haage, P., Hamilton, G., Hedin, U., Kamper, L., Lazarides, M., Lindsey, B., Mestres, G., Pegoraro, M., Roy, J., Setacci, C., Shemesh, D., Tordoir, J., van Loon, M., … Roca-Tey, R. (2018). Vascular access: 2018 clinical practice guidelines of the european society for vascular surgery. European Journal of Vascular and Endovascular Surgery, 55(6), 757–818. https://doi.org/10.1016/j.ejvs.2018.02.001

Sousa, C., Apóstolo, J., Figueiredo, M., Martins, M., & Dias, V. (2013). Physical examination: How to examine the arm with arteriovenous fistula. Hemodialysis International, 17(2), 300–306. https://doi.org/10.1111/j.1542-4758.2012.00714.x

Stolic, R. V., Trajkovic, G. Z., Kostic, M., Lazic, B., Odalovic, B., Smilic, T. N., & Mitic, J. (2017). Cannulation technique and arteriovenous fistula survival in older adult patients on hemodialysis. Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, 44(5), 441–446.

Van Loon, M., Kessels, A., Van Der Sande, F., & Tordoir, J. (2009). Cannulation and vascular access-related complications in hemodialysis: Factors determining successful cannulation. Hemodialysis International, 13(4), 498–504. https://doi.org/10.1111/j.1542-4758.2009.00382.x

Published

2023-03-09

How to Cite

Pinto, R., Duarte, F., Mata, F., Sousa, C. ., Salgueiro, A., & Fernandes, I. (2023). Arteriovenous fistula cannulation in hemodialysis: Constructing and validating a decision-making model. Journal of Nursing Referência, 6(2, Supl. 1), 1–8. https://doi.org/10.12707/RVI22021