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Author Topic: kind of Tourniquet used?  (Read 3581 times)
Jay72
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« on: August 10, 2008, 02:01:27 PM »
Hello I have a question for all who are on home hemo and have a graft or fistula.  I will be started my home hemo this coming Wednesday, my training is done, and I was just wondering what type of Tourniquet do you use?  I have an upper arm fistula so I can't use a bp cuff, so I use the velcro type and I hate it.  It either pinches my arm or I pull my vein all out of whach whne I tighten it.  Just wondering if anyone has a better suggestion. 

Jay
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G-Ma
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« Reply #1 on: August 10, 2008, 02:27:21 PM »
I just have the one the nurses use..that long plastic stretchy thingy...I don't like it but until we invent something better I guess I have to use it...my fistula moves so I said I'm going to get a salad tong, bend it curvier so I can grab the fistula and keep it still.... :Kit n Stik;
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Lost vision due to retinopathy 12/2005, 30 Laser Surg 2006
ESRD diagnosed 12/2006
03/2007 Fantastic Eye Surgeon in ND got my sight back and implanted lenses in both eyes, great distance & low reading.
Gortex 4/07.  Started dialysis in ND 5/4/2007
Gortex clotted off Thanksgiving Week of 2007, was unclotted and promptly clotted off 1/2 hour later so Permacath Rt chest.
3/2008 move to NC to be close to children.
2 Step fistula, 05/08-elevated 06/08, using mid August.
Aug 5, 08, trained NxStage and Home on 9/3/2008.
Fistulagram 09/2008. In hospital 10/30/08, Bowel Obstruction.
Back to RAI-Latrobe In Center. No home hemo at this time.
GOD IS GOOD
flip
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« Reply #2 on: August 10, 2008, 02:30:04 PM »
rubber glove and hemostats
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That which does not kill me only makes me stronger - Neitzsche
monrein
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« Reply #3 on: August 10, 2008, 02:40:50 PM »
I have an elasticized, fairly thick, about an inch wide, fabric tourniquet with a clip that fastens together, then when you tighten it there is a release clip that loosens it and it can be easily done with one hand.  I loosen it (but it is still attached together) in between needles and then it can be tightened again easily with one hand.  Also very easy to tighten just a tad more if required, in the middle of things.  If I position the "buckle", right over the vein it helps to stop the vein rolling away from me.  I am still in-centre (self-care) but this would be my tourniquet of choice.  It was a little tricky to get used to at first but now it's a snap to use, now that I've figured out how to attach it together and which side to put the self-release clip on for ease of operation.

I'll check the make tomorrow and re-post.  I'll take a photo eventually too (I just have to figure out how to download my pics from my new camera to my computer....that could take a while) LOL
« Last Edit: August 10, 2008, 02:56:47 PM by monrein » Logged
Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
Zach
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« Reply #4 on: August 10, 2008, 02:55:38 PM »
I use these non-latex tourniquets:
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
G-Ma
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« Reply #5 on: August 10, 2008, 03:00:36 PM »
monrein, I will be watching to see what the name is on your tourniquet..it sounds interesting.  Thx
Logged
Lost vision due to retinopathy 12/2005, 30 Laser Surg 2006
ESRD diagnosed 12/2006
03/2007 Fantastic Eye Surgeon in ND got my sight back and implanted lenses in both eyes, great distance & low reading.
Gortex 4/07.  Started dialysis in ND 5/4/2007
Gortex clotted off Thanksgiving Week of 2007, was unclotted and promptly clotted off 1/2 hour later so Permacath Rt chest.
3/2008 move to NC to be close to children.
2 Step fistula, 05/08-elevated 06/08, using mid August.
Aug 5, 08, trained NxStage and Home on 9/3/2008.
Fistulagram 09/2008. In hospital 10/30/08, Bowel Obstruction.
Back to RAI-Latrobe In Center. No home hemo at this time.
GOD IS GOOD
Jay72
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« Reply #6 on: August 10, 2008, 07:49:53 PM »
Thanks for the replys...GAIL if you can get the name for me that would be great...tomorrow is my last day at the hospital and the said that they have something like that but it wsa hard to use but I think I will try it.
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monrein
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« Reply #7 on: August 11, 2008, 04:09:15 PM »
The tourniquet is called The Green Tourniquet, made by Prameta and distributed here by Merrick Dental Inc. (800-363-3368).  Don't know how much they cost as they give them to us in-centre free and we each have our own.

If anyone does get one, don't be discouraged if it seems complicated at first.  Once you figure it out it's quite easy.
Logged
Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
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