Pain during Arterio-Venous Fistula (AVF) Cannulation

Béfa Noto Kadou Kaza; Kossi Akomola Sabi; Eyram Yoan Makafui Amekoudi; Ghislain Imangue; Jacques Badibanga; Claude Mawufemo Tsevi; Aminata Yasminatou Bikinga Wendkuuni; Denis Georges Teuwafeu; Mohamed Gharbi Benghanem; Benyounes Ramdani

doi:doi:10.11648/j.ajim.20140205.12

Pain during Arterio-Venous Fistula (AVF) Cannulation

Béfa Noto Kadou Kaza, Kossi Akomola Sabi, Eyram Yoan Makafui Amekoudi, Ghislain Imangue, Jacques Badibanga, Claude Mawufemo Tsevi, Aminata Yasminatou Bikinga Wendkuuni, Denis Georges Teuwafeu, Mohamed Gharbi Benghanem, Benyounes Ramdani

Published in American Journal of Internal Medicine (Volume 2, Issue 5)

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), 2024. Published by Science Publishing Group

Keywords

Pain, Cannulation, Arterio-Venous Fistula, Hemodialysis

References

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[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

Béfa Noto Kadou Kaza

Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco
Kossi Akomola Sabi

Departement of Nephrology and Hemodialysis of University Teaching Hospital Sylvanus Olympio of Lomé, Togo
Eyram Yoan Makafui Amekoudi

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

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

Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco
Claude Mawufemo Tsevi

Departement of Nephrology and Hemodialysis of University Teaching Hospital Sylvanus Olympio of Lomé, Togo
Aminata Yasminatou Bikinga Wendkuuni

Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco
Denis Georges Teuwafeu

Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Morocco
Mohamed Gharbi Benghanem

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

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

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APA Style

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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