Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique

Abstract Objective In this study, we investigated whether there was any difference in pain and dialysis efficacy when patients who initially entered dialysis with the rope ladder technique were switched to the buttonhole technique. Methods We reduced the space between needles and examined the effect...

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Main Authors: Öznur Kal, Enes Duman, Ali Kal
Format: Article
Language:English
Published: BMC 2020-10-01
Series:Renal Replacement Therapy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41100-020-00291-y
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author Öznur Kal
Enes Duman
Ali Kal
author_facet Öznur Kal
Enes Duman
Ali Kal
author_sort Öznur Kal
collection DOAJ
description Abstract Objective In this study, we investigated whether there was any difference in pain and dialysis efficacy when patients who initially entered dialysis with the rope ladder technique were switched to the buttonhole technique. Methods We reduced the space between needles and examined the effects on access blood flow rate, dialysis efficacy, and pain levels with BH technique. Forty-four patients participated, 25with dialysis needles placed 5–7 cm apart using the BH technique, and 19 with needles placed 7–10 cm apart. Results There was a significant reduction in the pain sensation in both groups from patients who passed the rope ladder technique to the buttonhole technique from the onset to the sixth month. There was no difference in dialysis efficacy between the patients who passed the lope ladder technique to the buttonhole technique; also, there was no difference in the dialysis efficacy compared to the needle entry interval in two groups of patients who were dialyzed with the BH technique. Discussion The BH technique continues to attract interest due to its dramatically reduced pain levels compared to the RL technique and no difference in dialysis efficacy.
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spelling doaj.art-14d3b39922034bb8bec898888e4bb7592022-12-21T19:19:55ZengBMCRenal Replacement Therapy2059-13812020-10-01611710.1186/s41100-020-00291-yDialysis efficacy and pain levels in relation to cannulation distance using the buttonhole techniqueÖznur Kal0Enes Duman1Ali Kal2Department of Nephrology, Başkent University HospitalDepartment of Radiology, Başkent University HospitalDepartment of Ophthalmology, Başkent University HospitalAbstract Objective In this study, we investigated whether there was any difference in pain and dialysis efficacy when patients who initially entered dialysis with the rope ladder technique were switched to the buttonhole technique. Methods We reduced the space between needles and examined the effects on access blood flow rate, dialysis efficacy, and pain levels with BH technique. Forty-four patients participated, 25with dialysis needles placed 5–7 cm apart using the BH technique, and 19 with needles placed 7–10 cm apart. Results There was a significant reduction in the pain sensation in both groups from patients who passed the rope ladder technique to the buttonhole technique from the onset to the sixth month. There was no difference in dialysis efficacy between the patients who passed the lope ladder technique to the buttonhole technique; also, there was no difference in the dialysis efficacy compared to the needle entry interval in two groups of patients who were dialyzed with the BH technique. Discussion The BH technique continues to attract interest due to its dramatically reduced pain levels compared to the RL technique and no difference in dialysis efficacy.http://link.springer.com/article/10.1186/s41100-020-00291-yArteriovenous fistulasAccess blood flow rateCannulation pain
spellingShingle Öznur Kal
Enes Duman
Ali Kal
Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique
Renal Replacement Therapy
Arteriovenous fistulas
Access blood flow rate
Cannulation pain
title Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique
title_full Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique
title_fullStr Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique
title_full_unstemmed Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique
title_short Dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique
title_sort dialysis efficacy and pain levels in relation to cannulation distance using the buttonhole technique
topic Arteriovenous fistulas
Access blood flow rate
Cannulation pain
url http://link.springer.com/article/10.1186/s41100-020-00291-y
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