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Pain during Arterio-Venous Fistula (AVF) Cannulation

Received: 20 August 2014     Accepted: 28 August 2014     Published: 30 September 2014
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Abstract

Pain caused by medical care is a major concern of patients. Patients undergoing hemodialysis are submitted to two venous punctures at rate of two or three times per week and this by means of big needles gauge. Where pain during Arterio-Venous Fistula (AVF) cannulation should be the object of adequate take care. However few works are dedicated to it. Our purpose was to estimate prevalence, risk factors and take care of pain due to AVF cannulation to hemodialysis patients. It was monocenter study realized from 1st till 30 September 2013 in the unit of hemodialysis of University Teaching Hospital Ibn Rochd of Casablanca. It included 92 hemodialysis patients, who’s carried AVF dating of at least three months and having agreed to participate that study. The investigation was realized by a doctor. The content of the tools used for investigation was established and validated by our department. Intensity of pain estimated by means of an analogue visual scale, was quoted from 0 to 10. The pain was estimated at every patient's during two consecutive hemodialysis sessions just after the bipunction of AVF by means of needles of 16 gauge by the same nurse. The mean age was 43,76 ± 13,6 years with a parity of sex. Prevalence of pain was 60,9 % with a moderate intensity expressed in 63 % of cases. About 31,5 % had apprehension of puncture. The anesthetic cream was the only method used for pain take care and its rate of use was 3,6 %. The risk factors of the pain were: proximal situation of AVF (p=0,020), apprehension of puncture (p=0,037). In our hemodialysis center, pain during AVF cannulation remains a real problem both by its high prevalence and its lower take care. Where it imports to elaborate a strategy to manage this pain.

Published in American Journal of Internal Medicine (Volume 2, Issue 5)
DOI 10.11648/j.ajim.20140205.12
Page(s) 87-89
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Pain, Cannulation, Arterio-Venous Fistula, Hemodialysis

References
[1] H. Vergne , MC. Darnis, A. Ostertag, JM. Poux. Pain during arterio-venous puncture. www.cnrd.fr
[2] C. Gülperi, O. Orhan, Y. Mümtaz, D. Ipek, O. Seda, A. Seza. Vapocoolant Spray vs Lidocaine/Prilocaine Cream for Reducing the Pain of Venipuncture in Hemodialysis Patients. Int J Med Sci. 2011; 8(7): 623–627.
[3] LK. Bal. Improving arteriovenous fistula cannulation skills. Nephrol Nursing Jr 2005; 32:6.
[4] IR. Selby, BJ Bowles. Analgesia for venous cannulation: a comparison of EMLA (5 minutes of application), lignocaine, ethyl chloride, and nothing. J R Soc Med. 1995; 88: 264-267.
[5] P. Armstrong, C. Young, D. McKeown. Ethyl chloride and venous puncture pain: a comparison with intradermal lidocaine. Can J Anaesth. 1990; 37: 656-658.
[6] JS. Park. The effect of cutaneous stimulation on AV fistula punctures pain of hemodialysis patients. Taehan Kanho 1994; 33:37-51.
[7] JS. Park. The effect of cutaneous stimulation and distraction on IV injection pain of chemotherapy patients. J Korean Acad Nurs 1998; 28:303-18.
[8] PB. Sabitha, D. C. Khakha, S. Mahajan, S. Gupta, M. Agarwal, S. L. Yadav. Effect of cryotherapy on arteriovenous fistula puncture-related pain in hemodialysis patients. Indian Journal of Nephrology October 2008 / Vol 18 / Issue 4:155-58.
[9] F. Alhani. The effect of programmed distraction on the pain caused by venipuncture among adolescents on hemodialysis. Pain Manag Nurs. 2010 Jun;11(2).
[10] LK. Ball: The buttonhole technique for arteriovenous fistula cannulation. Nephrol Nurs J 33: 299–304, 2006.
[11] AM. Verhallen, MP. Kooistra, BC. van Jaarsveld: Cannulating in haemodialysis: Rope-ladder or buttonhole technique? Nephrol Dial Transplant 22:2601–2604, 2007
[12] E. Vaux, J. King, S. Lloyd, J. Moore, L. Bailey, I. Reading, R. Naik. Effect of buttonhole cannulation with a polycarbonate PEG on in-center hemodialysis fistula outcomes: a randomized controlled trial. Am J Kidney Dis. 2013 Jul;62(1):81-8.
[13] CA. Muir, SS. Kotwal , CM. Hawley, K. Polkinghorne, MP. Gallagher, P. Snelling, MJ. Jardine. Buttonhole cannulation and clinical outcomes in a home hemodialysis cohort and systematic review. Clin J Am Soc Nephrol. 2014 Jan;9(1):110-9.
[14] RK. Atkar, JM. MacRae. The buttonhole technique for fistula cannulation: pros and cons. Curr Opin Nephrol Hypertens. 2013 Nov;22(6):629-36.
[15] M. Bagheri-Nesami, F. Espahbodi, A. Nikkhah , SA. Shorofi, JY. Charati. The effects of lavender aromatherapy on pain following needle insertion into a fistula in hemodialysis patients
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    Béfa Noto Kadou Kaza, Kossi Akomola Sabi, Eyram Yoan Makafui Amekoudi, Ghislain Imangue, Jacques Badibanga, et al. (2014). Pain during Arterio-Venous Fistula (AVF) Cannulation. American Journal of Internal Medicine, 2(5), 87-89. https://doi.org/10.11648/j.ajim.20140205.12

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    ACS Style

    Béfa Noto Kadou Kaza; Kossi Akomola Sabi; Eyram Yoan Makafui Amekoudi; Ghislain Imangue; Jacques Badibanga, et al. Pain during Arterio-Venous Fistula (AVF) Cannulation. Am. J. Intern. Med. 2014, 2(5), 87-89. doi: 10.11648/j.ajim.20140205.12

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    AMA Style

    Béfa Noto Kadou Kaza, Kossi Akomola Sabi, Eyram Yoan Makafui Amekoudi, Ghislain Imangue, Jacques Badibanga, et al. Pain during Arterio-Venous Fistula (AVF) Cannulation. Am J Intern Med. 2014;2(5):87-89. doi: 10.11648/j.ajim.20140205.12

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  • @article{10.11648/j.ajim.20140205.12,
      author = {Béfa Noto Kadou Kaza and Kossi Akomola Sabi and Eyram Yoan Makafui Amekoudi and Ghislain Imangue and Jacques Badibanga and Claude Mawufemo Tsevi and Aminata Yasminatou Bikinga Wendkuuni and Denis Georges Teuwafeu and Mohamed Gharbi Benghanem and Benyounes Ramdani},
      title = {Pain during Arterio-Venous Fistula (AVF) Cannulation},
      journal = {American Journal of Internal Medicine},
      volume = {2},
      number = {5},
      pages = {87-89},
      doi = {10.11648/j.ajim.20140205.12},
      url = {https://doi.org/10.11648/j.ajim.20140205.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20140205.12},
      abstract = {Pain caused by medical care is a major concern of patients. Patients undergoing hemodialysis are submitted to two venous punctures at rate of two or three times per week and this by means of big needles gauge. Where pain during Arterio-Venous Fistula (AVF) cannulation should be the object of adequate take care. However few works are dedicated to it. Our purpose was to estimate prevalence, risk factors and take care of pain due to AVF cannulation to hemodialysis patients. It was monocenter study realized from 1st till 30 September 2013 in the unit of hemodialysis of University Teaching Hospital Ibn Rochd of Casablanca. It included 92 hemodialysis patients, who’s carried AVF dating of at least three months and having agreed to participate that study. The investigation was realized by a doctor. The content of the tools used for investigation was established and validated by our department. Intensity of pain estimated by means of an analogue visual scale, was quoted from 0 to 10. The pain was estimated at every patient's during two consecutive hemodialysis sessions just after the bipunction of AVF by means of needles of 16 gauge by the same nurse. The mean age was 43,76 ± 13,6 years with a parity of sex. Prevalence of pain was 60,9 % with a moderate intensity expressed in 63 % of cases. About 31,5 % had apprehension of puncture. The anesthetic cream was the only method used for pain take care and its rate of use was 3,6 %. The risk factors of the pain were: proximal situation of AVF (p=0,020), apprehension of puncture (p=0,037). In our hemodialysis center, pain during AVF cannulation remains a real problem both by its high prevalence and its lower take care. Where it imports to elaborate a strategy to manage this pain.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Pain during Arterio-Venous Fistula (AVF) Cannulation
    AU  - Béfa Noto Kadou Kaza
    AU  - Kossi Akomola Sabi
    AU  - Eyram Yoan Makafui Amekoudi
    AU  - Ghislain Imangue
    AU  - Jacques Badibanga
    AU  - Claude Mawufemo Tsevi
    AU  - Aminata Yasminatou Bikinga Wendkuuni
    AU  - Denis Georges Teuwafeu
    AU  - Mohamed Gharbi Benghanem
    AU  - Benyounes Ramdani
    Y1  - 2014/09/30
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ajim.20140205.12
    DO  - 10.11648/j.ajim.20140205.12
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 87
    EP  - 89
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20140205.12
    AB  - Pain caused by medical care is a major concern of patients. Patients undergoing hemodialysis are submitted to two venous punctures at rate of two or three times per week and this by means of big needles gauge. Where pain during Arterio-Venous Fistula (AVF) cannulation should be the object of adequate take care. However few works are dedicated to it. Our purpose was to estimate prevalence, risk factors and take care of pain due to AVF cannulation to hemodialysis patients. It was monocenter study realized from 1st till 30 September 2013 in the unit of hemodialysis of University Teaching Hospital Ibn Rochd of Casablanca. It included 92 hemodialysis patients, who’s carried AVF dating of at least three months and having agreed to participate that study. The investigation was realized by a doctor. The content of the tools used for investigation was established and validated by our department. Intensity of pain estimated by means of an analogue visual scale, was quoted from 0 to 10. The pain was estimated at every patient's during two consecutive hemodialysis sessions just after the bipunction of AVF by means of needles of 16 gauge by the same nurse. The mean age was 43,76 ± 13,6 years with a parity of sex. Prevalence of pain was 60,9 % with a moderate intensity expressed in 63 % of cases. About 31,5 % had apprehension of puncture. The anesthetic cream was the only method used for pain take care and its rate of use was 3,6 %. The risk factors of the pain were: proximal situation of AVF (p=0,020), apprehension of puncture (p=0,037). In our hemodialysis center, pain during AVF cannulation remains a real problem both by its high prevalence and its lower take care. Where it imports to elaborate a strategy to manage this pain.
    VL  - 2
    IS  - 5
    ER  - 

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Author Information
  • Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco

  • Departement of Nephrology and Hemodialysis of University Teaching Hospital Sylvanus Olympio of Lomé, Togo

  • Departement of Nephrology and Hemodialysis of University Teaching Hospital Sylvanus Olympio of Lomé, Togo

  • Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco

  • Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco

  • Departement of Nephrology and Hemodialysis of University Teaching Hospital Sylvanus Olympio of Lomé, Togo

  • Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco

  • Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco

  • Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco

  • Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco

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