I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: tyefly on September 13, 2009, 07:40:50 PM

Title: fistula depth and location..
Post by: tyefly on September 13, 2009, 07:40:50 PM
      I have a question about using a fistula for the first time.....   I know I keep asking question.... but I could not find too much information on here that answered my question.......

         Was there something that the surgeon was suppose to give me so that others would know  and me too  where my fistula runs....  where it starts  or where it can be used.... and how deep certain area are....  how will someone know how deep it is... and which was the vein goes.....   is there mapping or ultra sound or something that should be done before we use it.....   
    They did all this mapping before the surgery    should we know more or have a picture ....or something...

    Am I thinking to hard here.....
Title: Re: fistula depth and location..
Post by: YLGuy on September 13, 2009, 07:43:28 PM
They seem to access the fistula by touch.
Title: Re: fistula depth and location..
Post by: silverhead on September 13, 2009, 09:12:53 PM
The Tech who did Sharon's ultrasound of the Fistula used a magic marker to outline the Arterial and Venous points closest to the skin so the Dialysis techs could find them easier.....
Title: Re: fistula depth and location..
Post by: justatech on September 16, 2009, 08:32:31 AM
Our surgeons here do the same thing usually with the sharpie. The mark where it is, what direction it flows and sometimes how deep it is. They also fax a diagram showing the same thing. It helps, especially with those that are real deep or still small. We call them baby fistulas.
Title: Re: fistula depth and location..
Post by: monrein on September 16, 2009, 03:04:12 PM
I've always just gone by touch, palpating the fistula and gauging the depth.  That's also why I never used freezing (neither needle nor cream) because the sensations also helped me guide the needles into position.