Which of the following is NOT a key aspect of B E S T I P S related to vascular access?

The concept of B E S T I P S in relation to vascular access emphasizes critical elements that practitioners should monitor and manage to ensure the effectiveness and safety of vascular access for dialysis patients. Each component addresses common complications or considerations that directly impact patient care.

Fistula maturation is a vital process that describes how an arteriovenous (AV) fistula develops and strengthens over time to become suitable for use in dialysis. This aspect is crucial as the effectiveness of the fistula is directly linked to its maturation, making it a key focus for healthcare providers.

In contrast, while the other components—bleeding, stenosis, and pseudo-aneurysms—focus on potential complications that can arise during the use of vascular access, fistula maturation specifically relates to the developmental phase of the access type itself. Therefore, it is not considered one of the primary aspects to monitor in the same way that the complications are.

In summary, while fistula maturation is important in the overall management of vascular access, it does not fall in the category of concerns encapsulated by the acronym B E S T I P S, which predominantly highlights issues that require active monitoring and intervention.