MEDLINE Journals

    Buttonhole technique better than area puncture technique on hemostasis and pain associated with needle cannulation.

    Authors
    Sukthinthai N, Sittipraneet A, Tummanittayangkoon B, et al. 
    Source
    J Med Assoc Thai 2012 Feb.:S208-12.
    Abstract

    The buttonhole (constant site) arteriovenous fistulae cannulation technique, in which the inserted needle utilizes exactly the same site and the same angle every dialysis session, offers the advantage of an easier cannulation procedure, less pain associated with cannulation, and fewer complications when compared with the traditional method.To compare buttonhole arteriovenous fistula (AVF) cannulation technique with area puncture method on the effect of hemostasis after needle withdrawal and pain during needle puncture.The duration of hemostasis after needle withdrawal and pain during needle puncture of AVF were prospectively recorded in 21 chronic hemodialysis patients at Siriraj Hospital. The data that were collected while using area puncture with sharp needle and while using buttonhole with blunt needle were compared by using Paired t-test.Compared with area puncture method, the duration of hemostasis after needle withdrawal in patients using buttonhole method was significantly shorter in both arterial (4.19 +/- 1.66 mins vs. 9.12 +/- 2.36 mins, p < 0.0001) and venous site (3.92 +/- 1.37 mins vs. 9.12 +/- 2.36 mins, p < 0.0001). The pain score during needle puncture of AVF in patients using buttonhole method was also significantly less than area puncture method in both arterial (1.20 +/- 0.90 vs. 6.03 +/- 0.90, p < 0.0001) and venous site (1.38 +/- 0.75 vs. 5.88 +/- 0.82, p < 0.0001).Buttonhole AVF puncture method is a useful technique to reduce both the time for hemostasis after needle withdrawal and pain during needle puncture.

    Mesh
    Arteriovenous Shunt, Surgical
    Female
    Hemostasis, Surgical
    Humans
    Male
    Middle Aged
    Pain, Postoperative
    Renal Dialysis
    Language

    eng

    Pub Type(s)
    Journal Article
    PubMed ID

    22574551

    Content Manager
    Related Content

    Assessment of blood flow in hemodialysis patients using buttonhole technique for arteriovenous fistula by ultrasound dilution.

    The effect of the buttonhole method vs. the traditional method of AV fistula cannulation on hemostasis, needle stick pain, pre-needle stick anxiety, and presence of aneurysms in ambulatory patients on hemodialysis.

    Buttonhole needling of haemodialysis arteriovenous fistulae results in less complications and interventions compared to the rope-ladder technique.

    Use of the BioHole™ device for the creation of tunnel tracks for buttonhole cannulation of fistula for hemodialysis.

    Cannulating in haemodialysis: rope-ladder or buttonhole technique?

    Clinical effects of buttonhole cannulation method on hemodialysis patients.

    Effect of buttonhole cannulation with a polycarbonate PEG on in-center hemodialysis fistula outcomes: a randomized controlled trial.

    Arteriovenous fistula cannulation by buttonhole technique using dull needle.