Analogy and collation of Valsalva manoeuvre and Ball compression on pain during arteriovenous fistula cannulation in patient with chronic renal failure on haemodialysis

• Author Details:   
• Meenu S
• Satheesh Balakrishnan ^*

Introduction: Valsalva manoeuvre and Ball compression will be effective in reducing pain during arteriovenous fistula cannulation in patient with chronic renal failure on haemodialysis.
Objective: To assess the pre-test level of pain during arteriovenous fistula cannulation among haemodialysis patients, to assess the post-test level of pain during arteriovenous fistula cannulation after practicing Valsalva maneuver among haemodialysis patients, to assess the post-test level of pain during arteriovenous fistula cannulation after practicing ball compression among haemodialysis patients and to compare the pre-test and post-test level of pain after practicing Valsalva maneuver during arteriovenous fistula cannulation among haemodialysis patients. To compare between pre-test and post-test analysis of Valsalva manoeuvre and Ball compression in reducing pain during arteriovenous fistula cannulation in patient with chronic renal failure on haemodialysis.
Materials and Methods: About 50 patients were selected and their pain during cannulation was assessed on a verbal pain scale of 0-10. Two sessions of dialysis were selected and the average calculated. Afterwards the same set of patients were asked to do the Valsalva manoeuvre during cannulation and pain severity recorded for next two sessions and the average calculated. Then the patients were explained about the ball compression method and they were cannulated along with ball compression for next two sessions and the average calculated.
Statistics: ANNOVA followed by Dunnets’ Multiple Comparison test. p value <0> Results: We found that both Valsalva manoeuvre and Ball compression on pain during arteriovenous with fistula cannulation in patient with chronic renal failure on haemodialysis with a p value of < 0> Conclusion: Both Valsalva manoeuvre and Ball compression was equally effective in reducing pain during arteriovenous fistula cannulation in patient with chronic renal failure on haemodialysis.

Keywords: Arteriovenous fistula cannulation, Ball compression, Chronic renal failure, Haemodialysis, Valsalva manoeuvre.