I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: General Discussion => Topic started by: sullidog on June 01, 2012, 09:44:56 PM
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all the techs at my center have had trouble canulating my graft after the revision to repair my suto annurism. There's a new peace of graft on the arterial side and it can't be canulated for 2 weeks. However my surgeon said they can canulate anywhere accept for that area. The problem is now it seems to be very hard to canulate, but once canulated it seems to run fine. I don't know what would of happened during the revision to cause this but it's very frustrating when techs are digging around and have to stick you several times. This is the first revision I've had that actually required a new peace of graft. Anyone know what might be going on? Even the tech who has had no problems at all canulating me is having trouble now. Can something of happened to the graft during the revision? In case it matters the repair was done via a catheterization. Also I can still feel the annurism so I'm gussing they just tide that part off? It doesn't thump anymore like it use to just has a nice smooth thrill.
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Opinions of Roberta Mikles BA RN - Dialysis Patient Safety Advocate
www.qualitysafepatientcare.com
First, I am not a physician but would recommend the following:
(1) The staff, if having these difficulties, should be investigating further e.g. contacting the physician or even the interventional nephrologist to determine why there is a problem
(2) You should contact the interventional nephrologist and let him/her know what is happening --perhaps he/she can give some insight or even tell you all is okay which would settle your mind a bit --
(3) Of course, the staff should also be inforning your own nephrologist
When my father used to go to the access center, often we would bring back diagrams, etc.. asking for such in order to educate the staff -- the interventional nephrologist often told us the reason my father was having problems was due to the incorrect methods that staff were using to cannulate -- when we would bring back diagrams of where to cannulate, WOW staff would become defensive and even, one day, the unit medical director, his nephrologist, lashed out at me and how dare I make the interventional doctor draw a diagram -- etc telling me he did not want to and that I forced him into doing a diagram of where staff were to cannulate - I told him that it was not my problem and that obviously there were problems between he and the interventional nephrologist -- the problem.. one doctor stepping on another's territory -- they hate it...
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Today they pulled clotts and something that looked like a peace of material from the graft.
My neph is suppose to contact my surgeon about the issue as I use my surgeon for everything instead of the IVR because the IVR always says it's fine when it really isn't. They even tried a wet stick today and that still didn't work. Today the venus pressure was also high about 380 and sometimes above 400, so I'm guessing time for another fistulagram.