Problems with needles backing out.

[CharmedMist]

Sometimes, during diaylsis the needles back out a little bit, maybe a quarter inch or even a little more. This sets of an alarm "21" for low pressure, but I can always re-position it in his arm and press the start again.

But other than taping it down, any suggestions to keep this from happening?

Is it worse because we button hole?

[Zach]

Sometimes, during diaylsis the needles back out a little bit, maybe a quarter inch or even a little more. This sets of an alarm "21" for low pressure, but I can always re-position it in his arm and press the start again.

But other than taping it down, any suggestions to keep this from happening?

Is it worse because we button hole?

Using wide (3/4 inch) tape may help.
I place two strips over the needle "butterfly."  The needle never moves.

[Wallyz]

I have had this happen when the cannula was being pulled slightly by the way Itaped it to the wrist band.  For me, the fix was making sure I put some slack in the cannula between the button hole and the wristband.

I found it to be less of a problem wiht he buttonholes, and more of a problem from using the hand on my fistula arm to write, hold a book, or play guitar.

[silverhead]

From what I can see in your picture, it looks like you do not have a wrist band, a  gauze square folded in half and taped in place, then the lines taped to it with a reasonable amount of slack in them, also, are you using a couple of tape "chevrons" at the site to hold them in place?

[CharmedMist]

Yes, we don't use a wrist band, his fistula is in his upper left bicep. Thanks for the ideas, I will try them.

[HubbysPartner]

Does using a wristband allow you to move your arm during treatment?  My husband has buttonholes on his lower arm not far from his wrist and so far he has had to keep his arm completely still. 

[nursewratchet]

Have them check your Venous Pressure as well. If it is high, it means you could be having a narrowing.  That will "push" the needles due to the pressure. 

[M3Riddler]

I also would suggest a more secure taping method... the needles should not come out during treatment. Has this always been an issue or just recent? If it is recent, have your arterial and venous pressures changed any over the last few months? If so, like a prevous member stated, it could be a stenosis or blockage.....

///M3Riddler