Volume 2, Issue 5, September 2014, Page: 87-89
Pain during Arterio-Venous Fistula (AVF) Cannulation
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
Received: Aug. 20, 2014;       Accepted: Aug. 28, 2014;       Published: Sep. 30, 2014
DOI: 10.11648/j.ajim.20140205.12      View  3302      Downloads  278
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.
Keywords
Pain, Cannulation, Arterio-Venous Fistula, Hemodialysis
To cite this article
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, Pain during Arterio-Venous Fistula (AVF) Cannulation, American Journal of Internal Medicine. Vol. 2, No. 5, 2014, pp. 87-89. doi: 10.11648/j.ajim.20140205.12
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