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Author Topic: Buttonhole  (Read 1884 times)
GoingThere
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« on: September 29, 2010, 03:48:15 AM »

Hi!

My unit will start to offer buttonhole technique. I will be one of the first patient using this approach. I have one question. On Youtube I came accross this video, where tha patient uses special "sealing device". Do you have any idea where to purchase this stuff?

Link to video:

http://www.youtube.com/watch?v=J9tok5JYoDs&feature=related

GT
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1995 - kidney biopsy - IgA
2002 - BP 220/140 - hospitilized
2004 - stage 3 of kidney failure
2005 - stagae 4of kidney failure
2009 - on the edge of stage 5
july 2010 - stage 5
14 july 2010 - catheter inserted and first D session
15 july 2010 - AV fistula created
dec. 2012 - tx with major rejection (plasmapheresis, atg, prednisone pulses)
apr 2013 - kidney function stable
monrein
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Might as well smile

« Reply #1 on: September 29, 2010, 04:55:41 AM »

I was advised NOT to use those plugs.  They can cause infection I was told.  The most important thing about buttonholes is consistency.  Same hole same ANGLE into that hole each time.  Think about and ask if you can do it yourself...that way it's always the same person...many people have the fear that it will hurt more to needle themselves but I found it to be the opposite and once the buttonholes are established it's not painful usually.

Good luck.
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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
Bruno
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TOFF (typical old Fart)

« Reply #2 on: October 09, 2010, 03:11:34 AM »

I'm don't know about the plugs...never heard about them but I am buttonholing and can tell you the advantages. The major one is freedom of movement because buttonholing eventually enables the use of a blunt needle instead of a sharp. This means you can move around more freely during dialysis. The second advantage is that you can learn to put the needles in yourself which opens the way to home dialysis. This may not be an option to you but it is to me. The third advantage is that it is usually less painful and on some occasions quite pain free.
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jp
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« Reply #3 on: October 12, 2010, 09:15:53 PM »

hey there...well to tell you the truth when i started doing button hold technique i didnt wanted to but its been 10 months and so far everything seems to go well...the only problem is that one nurse has to do the sticks everytime you go in for the first 2 weeks for the track to get started...or else it can get messed up...and for me i have to tell the nurses how to angle the needles and which direction to move it, sometimes it gets frustrating but theres those days when it just goes right in,....once in a while a nurse takes about a minute to find the hole....i dont know how getting stick in different places works, since i just went straight to buttonhole.
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