Vantaggi dell'utilizzo della tecnica Buttonhole. Studio di un caso clinico in un Centro Dialisi in Puglia

Patrizia Quaranta; Luigi Nuccio; Marianeve Alessio; Anna Maria Alfarano; Ambrogio Carluccio; Loredana Melcarne; Maria Rosaria Nuccio; Tonia Quarta; Antonella Schirinzi; Vitale Nuzzo

doi:10.33393/gcnd.2016.717

Authors

Patrizia Quaranta Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Luigi Nuccio Infermiere Coordinatore U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Marianeve Alessio Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Anna Maria Alfarano Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Ambrogio Carluccio Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Loredana Melcarne Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Maria Rosaria Nuccio Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Tonia Quarta Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Antonella Schirinzi Infermiere U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)
Vitale Nuzzo Medico Responsabile U.O. Nefrologia e Dialisi Ospedale “Card. G. Panico”, Tricase (LE)

DOI:

https://doi.org/10.33393/gcnd.2016.717

Keywords:

Buttonhole puncture method, Hemodialysis, Vascular access

Abstract

Native AVF represents the best vascular access for patients undergoing chronic hemodialysis treatments. Accordingly to KDOQI 2006, constant site cannulation technique (or butthonhole, BH) can reduce infiltration events, cannulation pain, make self cannulation process easier and maintain a better vein outflow integrity. Nursing staff need to be trained in order to acquire and improve AV cannulation skills. The objective of this study is to demonstrate benefits of buttonhole technique for AVF cannulations in chronic hemodialysis patients by a case report experience in our centre. Based on our experience, only if adequate training will be provided to nursing staff and greater emphasis will be given to patients empowerment and AV self management, BH technique could bring greater advantages and less complications for both patients and staff. BH technique, if properly applied, can reduce infiltration risk, bleeding and pain while preserving vein physiology.