Infiltrations from cannulation difficulties result in significant morbidity including loss of vascular access (VA) loss in hemodialysis (HD). Cannulation is reliant on personnel skill and VA characteristics. Surface marking of VA lacks real-time information and traditional ultrasound (US) devices are large, expensive and require skilled operator expertise. Sonic Window© (Analogic Ultrasound, Peabody, MA) is a coronal mode ultrasound device (CMUD) approved for VA cannulation. Study is a single center randomized, prospective pilot study comparing handheld US-guided cannulation of new arteriovenous fistula (AVF) to standard cannulation practices.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
GHS West pavilion dialysis center
Detroit, Michigan, United States
Infiltration Due to Dialysis Access Cannulation
Infiltration is the extravasation of blood from fistula due to problems with needle insertion into fistula for dialysis.
Time frame: 3 weeks from use of fistula
Patient Pain Scale
Measured using a scale of 1-10 with 10 being the most severe pain
Time frame: 3 weeks from use of fistula
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