Abstract
Introduction: Vascular access is considering to the patient undergoing hemodialysis (HD) as his/her soul which indicating patient survival, moreover, vascular access can controlling, directing the dialysis regimen effectiveness. Cannulation techniques are a crucial skill for nurses to minimize arteriovenous fistula (AVF) or graft (AVG) complications.
 Methods: A cross-sectional study was applied to assess vascular complication and related factors. The participants were 65 patients on maintenance HD therapy enrolled at the dialysis unit, central Ehnasa’ government hospital, Beni Suef City. Data were collected using developed questionnaires regard patients’ demographic data, clinical, and HD session characteristics, designed Nursing Practice guidelines for needling of AVF/AVG booklet.
 Results: Statistically, the results show the most common cannulation technique which was demonstrated is an area method (65%) and needle direction is retrograde with bevel up (66.2%). whereas, the significant positive correlation shows between the cannulation techniques and vascular access complication, duration of dialysis and complication during the dialysis session. Furthermore, the most common complication related to needling practice is aneurysm (44.6%).
 Conclusion: Following cannulation, technique guidelines will prevent potential complication, increase vascular access durability, and improve patients’ quality of life.
Highlights
Vascular access is considering to the patient undergoing hemodialysis (HD) as his/her soul which indicating patient survival, vascular access can controlling, directing the dialysis regimen effectiveness
This study demonstrated the most common cannulation technique which was demonstrated is an area method and needle direction is retrograde with the bevel up
The positive correlation variables are between cannulation techniques and vascular access complications, duration of dialysis and complication during the dialysis session
Summary
Vascular access is considering to the patient undergoing hemodialysis (HD) as his/her soul which indicating patient survival, vascular access can controlling, directing the dialysis regimen effectiveness. In Egypt, the prevalence rate of ESRD is about 74/ million population and the incidence of patients undergoing dialysis therapy is 264/million population [3]. Hemodialysis (HD) is considered ordinary renal replacement therapy for treating ESRD in Egypt [4]. Vascular access can be a central venous catheter (CVC), arteriovenous fistula (AVF) or graft (AVG). Vascular access such a part of a patient’s soul, even the bruit should always be listening to it to feel safe, vascular access can controlling, directing the dialysis regimen effectiveness
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