CompletedNot Applicable

Handheld Ultrasound-guided Cannulation of Difficult Haemodialysis Arteriovenous Access by Renal Nurses

Singapore50 participantsStarted 2021-01-01

Plain-language summary

Cannulation of complex arteriovenous fistula (AVF) or graft (AVG) is a challenge to renal nurses. Ultrasound (US) guidance on central and peripheral venous access visualisation has been widely adopted in nephrology and shown to reduce complications of vascular interventions. With broader adoption of handheld US devices in clinical services, renal nurses could acquire this point-of-care technique to increase the successful cannulation rate while facilitating confidence build-up during training and practice. We aim to evaluate the use of handheld US on difficult AVF/AVG cannulation in a hospital-based dialysis unit.

Who can participate

Age range21 Years – 90 Years

SexALL

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Inclusion Criteria: 1\. First-time cannulation, 2. Post-angioplasty or thrombectomy, 3. Partial stenosis confirmed with imaging or by vascular surgeons/interventional radiologists, 4. Failed cannulation by dialysis nurses at community centres, 5. Bruises or haematoma around AVF/AVG, 6. Presence of clots in AVF/AVG and 7. Deep-seated access by physical examination. Exclusion Criteria: complex access with a high risk of complications (calibre ≤0.4cm or vessels ≥0.8cm in depth from skin)

What they're measuring

percentage of successful cannulation

Timeframe: from skin contact to actual start of dialysis

Trial details

NCT IDNCT05410691

SponsorNational Healthcare Group, Singapore

Sponsor typeOTHER_GOV

Study typeINTERVENTIONAL

Primary completion2022-01-31

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