Must Cannulation Technique of Vascular Access in Patients Undergoing Haemodialysis: Contributions for a Safe Nursing Intervention

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-03

Study Completion Date

2023-04-30

Brief Summary

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The aims of this study are to:

* Determine the AVF (arteriovenous fistula) survival of patients submitted to MuST compared to those submitted to RL (rope-ladder).
* Determine the AVF (arteriovenous fistula) complication rate of patients submitted to MuST compared to those submitted to RL (rope-ladder).
* Analyze the intensity of pain perceived by the patient with each cannulation technique under study.

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Detailed Description

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The MuST is based on the association between the RL technique in that it uses the entire length of the available vessel through progressive rotation, and the buttonhole (BH) cannulation technique since there are three specific cannulation sites for each cannulation day during the week, meaning that each site is only cannulated once a week (allowing the puncture site to heal in between cannulations).

Conditions

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Chronic Kidney Diseases Hemodialysis Vascular Access Complication Hemodialysis Access Failure Arteriovenous Fistula

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

multiple-center, prospective, non-blind, parallel-group, randomized controlled

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention group: Multiple Single Cannulation Technique (MuST)

Group Type EXPERIMENTAL

CT MuST

Intervention Type PROCEDURE

Multiple Single Cannulation Technique (MuST): Experimental technique

Control group: Rope-ladder cannulation technique (RL)

Group Type OTHER

Rope-ladder cannulation technique

Intervention Type PROCEDURE

Standard cannulation technique( Rope-ladder)

Interventions

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CT MuST

Multiple Single Cannulation Technique (MuST): Experimental technique

Intervention Type PROCEDURE

Rope-ladder cannulation technique

Standard cannulation technique( Rope-ladder)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Voluntarily agree to participate in the study and sign an informed consent;
* Are on a regular haemodialysis (HD) program with three weekly sessions;
* AVF has been in use for at least 4 weeks without incident;
* AVF with blood flow (Qa) ≥500 mL/min evaluated by thermodilution;
* AVF paths allow cannulations along the entire length of the vein with at least 6 cm of distance between bevels, or two distinct areas of 3 cm in length;
* Adult patients

Exclusion Criteria

* Those who decline to take part;
* Those who have undergone angiography or surgical intervention in the last 4 months in the AVF in use;
* Those who have undergone three or more interventions in the AVF in use;
* Those with use of anesthetic creams at cannulation sites.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No