Vascular Access Management 1: An Overview

Abstract

Vascular access for renal replacement therapy (RRT) is

seen as one of the most challenging areas confronting the

nephrology multidisciplinary team. The vascular access of

choice is the arterio-venous fistula (AVF) followed by the

arterio-venous graft (AVG) and central venous catheter

(CVC). A successful vascular access programme requires

forward planning ensuring that enough time is available for

the preservation of the access site, its creation and maturation.

Successful cannulation of the vascular access requires

on the part of the nephrology nurse, clinical expertise and

knowledge on the management of different types of vascular

access including different cannulation techniques.

Keywords

• Cannulation technique,education,Haemodialysis,Maturation,Vascular access

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