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Learn how and when to determine if a new AVF fistula has matured. Physical examination, the Rule of 6’s, and signs of complications are discussed. Other topics include: how and when to determine new AV Fistula maturation, and physical examination of the fistula.
Chapter 3
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Learn about cannulation guidelines and protocol, and a cannulator rating system to ensure the best care for patients and their new fistulas. Topics include: patient preparation, needle selection and insertion, pressure monitoring, and causes and response to excessively negative arterial pressure (AP).
Chapter 4
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Gerald Beathard, MD, PhD, walks you through a hands-on examination of a mature fistula. Also discussed is the “sleeves up” exam of a fistula or graft.
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Topics: Cannulating the mature fistula using site rotation, needle insertion and removal, clamp usage and warnings. Advantages and disadvantages of the buttonhole technique, sharp vs. blunt needles, switching to blunt needles, buttonhole scab removal do’s and don’ts, cannulating using an established buttonhole, and helpful hints for cannulating a buttonhole access.
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Topics: dialysis complications and troubleshooting: bleeding, infiltrations, poor blood flow, aneurysm, stenosis and thrombosis, signs and symptoms of infection, and steal syndrome.
Patient Assessment Videos
Assessment of the upper arm AV fistula – Dr. Gerald BeathardSecondary AVF Fistula Conversion (includes the Sleeves-Up exam) – Dr. Lawrence SpergelAssessment of forearm AV fistula – Dr. Arif Asif
