Impact of the Arteriovenous Fistula Puncture Technique On the Hemodialysis Session For Patient and Caregiver
NCT ID: NCT03355508
Last Updated: 2017-11-28
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
42 participants
INTERVENTIONAL
2017-09-29
2021-02-28
Brief Summary
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In the case of chronic care, 78% of patients have an arteriovenous fistula. In order to perform the hemodialysis session, 2 techniques of puncture of the fistula are possible:
* Bevel puncture upwards then flipping the needle
* or puncture bevel down. At present, there is no consensus or study on the technique of puncture fistula which generates different professional practices.
Detailed Description
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Conditions
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Study Design
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RANDOMIZED
CROSSOVER
SUPPORTIVE_CARE
DOUBLE
Study Groups
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puncture bevel up
pucture in the arteriovenous fistula
The compression time will be measured with a stopwatch so that it is objective and accurate, although the compression times range from minute to minute.
An initial 2-week observation phase (phase 1) will establish a reference time for each patient using the most common puncture technique in the department: bevel up.
We will evaluate the patient's reference time by counting the time of compression using a stopwatch for 2 weeks (ie 6 sessions) and we will take an average.
A draw will determine for each patient the order in which the direction of the needles will be used.
After this determination of the reference time, the patient will enter two successive phases where it will be punctured bevel up (phase 2) and then down (phase 3) or vice versa following the draw.
puncture bevel domn
pucture in the arteriovenous fistula
The compression time will be measured with a stopwatch so that it is objective and accurate, although the compression times range from minute to minute.
An initial 2-week observation phase (phase 1) will establish a reference time for each patient using the most common puncture technique in the department: bevel up.
We will evaluate the patient's reference time by counting the time of compression using a stopwatch for 2 weeks (ie 6 sessions) and we will take an average.
A draw will determine for each patient the order in which the direction of the needles will be used.
After this determination of the reference time, the patient will enter two successive phases where it will be punctured bevel up (phase 2) and then down (phase 3) or vice versa following the draw.
Interventions
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pucture in the arteriovenous fistula
The compression time will be measured with a stopwatch so that it is objective and accurate, although the compression times range from minute to minute.
An initial 2-week observation phase (phase 1) will establish a reference time for each patient using the most common puncture technique in the department: bevel up.
We will evaluate the patient's reference time by counting the time of compression using a stopwatch for 2 weeks (ie 6 sessions) and we will take an average.
A draw will determine for each patient the order in which the direction of the needles will be used.
After this determination of the reference time, the patient will enter two successive phases where it will be punctured bevel up (phase 2) and then down (phase 3) or vice versa following the draw.
Eligibility Criteria
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Inclusion Criteria
* Adult of age and sex indifferent.
* Normal puncture of the fistula with two needles (bipuncture).
* Fistula use for more than 3 months.
* Beneficiary of Medicare or State Medical Aid.
* No opposition to participation in the study.
Exclusion Criteria
* Hemodialysis patient awaiting a transplant by a living donor.
* Patient with more than 2 AVF dilatations in the last 6 months.
* Patient with prosthetic arteriovenous fistula.
18 Years
ALL
No
Sponsors
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Poissy-Saint Germain Hospital
OTHER
Responsible Party
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Valérie LOIZEAU
Impact of the Arteriovenous Fistula Puncture Technique On the Hemodialysis Session For Patient and Caregiver
Locations
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CH Poissy st Germain
Poissy, , France
Countries
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Central Contacts
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Facility Contacts
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Loizeau Valerie
Role: primary
Other Identifiers
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TECHFAVHEMO
Identifier Type: -
Identifier Source: org_study_id