Constant Site (Buttonhole) Method
نویسنده
چکیده
"Available data are suggesting that insertion of the hemodialysis needles in exactly the same spot for consecutive dialyses (the "buttonhole method) may be associated with fewer complications as compared with using different needle insertion sites for each dialysis. The buttonhole method is becoming popular among home hemodialvsis patients. This paper will describe the origin of the method, early results, and the reasons why the method has not gained widespread popularity in U.S. hemodialysis centers.
منابع مشابه
Original Investigation Effect of Buttonhole Cannulation With a Polycarbonate Peg on In-Center Hemodialysis Fistula Outcomes: A Randomized Controlled Trial
Background: Quality improvement strategies to increase and maintain the numbers of arteriovenous fistulas (AVFs) are a critical drive in enhancing the quality of care of patients receiving treatment with hemodialysis. How the AVF is needled is an important consideration in AVF survival; the ideal cannulation technique has not been established to date. Study Design: Prospective randomized single...
متن کاملA randomized trial comparing buttonhole with rope ladder needling in conventional hemodialysis patients.
BACKGROUND AND OBJECTIVES Buttonhole needling is reported to be associated with less pain than standard needling. The purpose of this study was to compare patient perceived pain and fistula complications in buttonhole and standard needling. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS In this study, 140 conventional hemodialysis patients were randomly assigned to buttonhole or standard needl...
متن کاملA multi-center perspective of the Buttonhole Technique in the Pacific Northwest.
There is no solid data on how many dialysis facilities and home hemodialysis programs in the United States are cannulating arteriovenous fistulas via the Buttonhole Technique. In the Pacific Northwest (Northwest Renal Network #16), approximately 38% of facilities are utilizing the buttonhole technique. In this article, four of those facilities will share their experiences, which suggest the But...
متن کاملA timesaving method to create a fixed puncture route for the buttonhole technique.
BACKGROUND Up to now, for a successful buttonhole puncture of the vascular access vessel, the fistula should be punctured by the same experienced medical staff for 2-3 months, using sharp needles, until a fixed puncture route is established. METHODS We developed a timesaving method to create the fixed puncture route for the buttonhole technique. In this method, after the usual haemodialysis (...
متن کاملCannulating in haemodialysis: rope-ladder or buttonhole technique?
BACKGROUND The standard technique for fistula cannulation, the rope-ladder technique, is problematic for patients with short fistula lengths and for patients in whom the fistula is difficult to cannulate. The buttonhole technique, cannulation of exactly the same site, offers the advantage of an easy cannulation procedure. However, it can be used only in native fistulas and cannulation is prefer...
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تاریخ انتشار 2010