Cannulation of the Arteriovenous Fistula (AVF)
Tell us what you think about the Cannulation of the AV
Fistula series!!!
A Series of Educational Videos for
Professionals.
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the video.
 Chapter 1
Introduction
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Chapter 2
Assessment of the New AVF Fistula for Maturity
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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
Protocol for New AVF Cannulation
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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
Assessment of the Mature AVF
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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.
Chapter 5
Cannulation Site Selection and Preparation
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This section details cannulation site selection, preparation, and pain control
options.
Chapter 6
Cannulation Techniques
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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.
Chapter 7
Self-Cannulation
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Topics: Self-cannulation benefits and training recommendations, buttonhole
technique and self-cannulation.
Chapter 8
Complications
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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 Beathard
Secondary AVF Fistula Conversion
(includes the Sleeves-Up exam) - Dr. Lawrence Spergel
Assessment of forearm AV fistula -
Dr. Arif Asif
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