Haemodialysis is a method of removing waste products and extra fluid in the blood when the kidneys no longer function properly. Permanent vascular access is often achieved via arteriovenous fistulae (AVF) or arteriovenous grafts (AVGs). On rare occasions, bleeds from AVF and AVGs do not resolve with the application of normal pressure and bleeding can become life threatening.
The resources below assist providers in implementing the actions of our Patient Safety Alert: Management of life threatening bleeds from arteriovenous fistulae and grafts.
British Renal Society and Vascular Access Society of Britain & Ireland resources
The British Renal Society Vascular Access Special Interest Group and Vascular Access Society of Britain & Ireland have developed recommendations and resources related to the prevention and management of life threatening bleeds from AVF and AVGs.
These resources include:
for display in clinical areas likely to encounter patients with AVF and
Recommendations for Managing Life-Threatening Bleeds from AVF and AVGs which
includes information on assessment of AVF and AVGs and how to reduce the risk
Pre-Needling Assessment Tool to assist in the assessment of AVF and AVGs prior
- A hand-held card for patients with AVF and AVGs displaying information on care of the site, actions to take and emergency numbers to call in the event of life threatening bleeds
- A patient information booklet containing important facts about the care of AVF and AVGs including prevention and detection of complications and management of bleeding.