Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

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<strong>AVF</strong> Complication:Needling Difficulties & FlashbackList possible causes of:• Needling difficulties– Patient or nurse position or posture– Needle not in alignment with vessel– Incorrect needle depth– Incorrect needle length– Tip of needle not in vessel centre– Scar tissue– Vessel aneurysmal• Flashback of “black” blood– Clotted access– Cannulation of pseudoaneurysm149
<strong>AVF</strong> Complication:What could of caused this?We must notforget thepossibility ofexternal injuryunrelatedto the patient’stime in the HDunit.
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Module #3:AVF Maturation, Needling
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AVF MaturationAVF maturation = proc
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AVF Maturation2. How do we know if
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AVF Maturation3. What are the tools
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AVF Needling: Case StudyReturning t
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AVF NeedlingHow will you prepare th
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Is This an Easy Access to Needle?Br
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AVF Needling: Vein MappingResult: M
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AVF Needling: Watchful Eyes• “S
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AVF Needling: Using a Teflon Needle
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AVF Needling:It Doesn’t Have to b
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AVF Needling:Cannulation Trouble-sh
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AVF Complications• Stenosis, incl
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Chart review reveals:AVF Complicati
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AVF Complication: JASRC anastamosis
Page 31 and 32: AVF Complication: JASJASBC AVFJAS98
Page 33 and 34: AVF Complication: StenosisWhy are s
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Page 41 and 42: AVF Complication: ??Same arm: 2 nd
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Page 45 and 46: Stenosis in Basilic Vein BetweenAne
Page 47 and 48: AVF Complication: Stenosis inRadioc
Page 49 and 50: AVF Complication:Stenosis - Managem
Page 51 and 52: Fistulogram with Mapping NotesRecom
Page 53 and 54: Pre- & Post-angioplasty of Severe S
Page 55 and 56: AVF Complication:InfiltrationEvery
Page 57 and 58: AVF Complication: InfiltrationThe p
Page 59 and 60: AVF Complication: Needle Infiltrati
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Page 63 and 64: AVF Complication: Back Blow Infiltr
Page 65 and 66: AVF Complication: InfectionWhat do
Page 67 and 68: AVF Complication: InfectionWhat mig
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Page 71 and 72: AVF Complication:Buttonhole Infecti
Page 73 and 74: AVF Complications: Case StudyMr. Kl
Page 75 and 76: AVF Complication: Aneurysm142
Page 77 and 78: AVF Complication: SpontaneousRuptur
Page 79 and 80: AVF Complication: Skin BreakdownAvo
Page 81: AVF Complications• Needling diffi
Page 85 and 86: Case Study: Access MonitoringState
Page 87: Case Study: Access MonitoringState
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Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

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