Expert consensus on the difficult cannulation of hemodialysis arteriovenous fistula guided by point-of-care ultrasound
10.3761/j.issn.0254-1769.2025.19.001
- VernacularTitle:超声实时引导下疑难动静脉内瘘穿刺的专家共识
- Author:
Lin CHEN
;
Jinghua XIA
;
Xia FU
;
Zhifang MA
;
Guanghui XIAO
- Collective Name:Blood Purification Committee of Chinese Nursing Association
- Publication Type:Journal Article
- Keywords:
Point-of-Care Ultrasound;
Difficult Cannulation of Arteriovenous Fistula;
Hemodialysis;
Expert Consensus
- From:
Chinese Journal of Nursing
2025;60(19):2309-2313
- CountryChina
- Language:Chinese
-
Abstract:
Objective To formulate an expert consensus on the puncture of difficult arteriovenous fistula under real-time guidance of ultrasound(hereinafter referred to as the consensus).To standardize the clinical practice of ultrasound-guided puncture of difficult autologous arteriovenous fistula.Methods We conducted a comprehensive literature review of domestic and international publications,integrated clinical nursing experts' practical experience,and followed evidence-based nursing principles to identify the best available evidence.Through expert panel discussions and 3 rounds of Delphi expert consultation,we systematically revised,refined and improved the initial draft of the consensus,ultimately developing the finalized version.Results The response rates of the 3 rounds of Delphi expert correspondence inquiries were all 100％;the authority coefficient of expert correspondence inquiries was 0.97;the mean importance assignment of the 3 rounds of correspondence inquiries was more than 3.50.The Kendall coordination coefficients of the 3 rounds of expert consultation were 0.127,0.120,and 0.201,respectively(P＜0.05),and the degree of coordination of expert opinions was good and the expert opinions were consistent.The consensus summarized 5 aspects,including relevant terms and definitions,indications for real-time ultrasound-guided arteriovenous fistula puncture,personnel qualifications and training,difficult arteriovenous fistula puncture procedures under real-time ultrasound-guided,and nursing quality control.Conclusion The consensus is scientific,which can provide a basis for hemodialysis practitioners to practice the puncture of difficult arteriovenous fistula under real-time guidance of ultrasound.
