Summary of NKF KDOQITM Clinical Practice Guidelines for Vascular Access, Update 20061(2)

Summary of NKF KDOQITM Clinical Practice Guidelines for Vascular Access, Update 20061

IMPLEMENTATION OF PROCEDURES TO MAXIMIZE ACCESS LONGEVITY

The use of aseptic technique, appropriate cannulation methods,the timing of fistula and graft cannulation, and early evaluation ofimmature fistulae are all factors that may prevent morbidity andmay prolong the survival of permanent dialysis accesses.

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Catheters and ports should be evaluated when they fail to attainand maintain an extracorporeal blood flow of 300 mL/min orgreater at a prepump arterial pressure more negative than –250mm Hg

Treatment of an infected HD catheter or port should be basedon the type and extent of infection

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Use aseptic technique for all cannulation and catheter accessionprocedures

Implement cannulation protocols

-Cannulation training tools are available through

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CONTINUOUS QUALITY IMPROVEMENT (CQI)

●Each center should establish a database and CQI process totrack the types of accesses created, complication rates for theseaccesses and outcomes

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