Theme | The Status Quo and the View of Home Hemodialysis | |
---|---|---|
Title | Suitable puncture method for home hemodialysis | |
Publish Date | 2007/08 | |
Author | Takahiro Shinzato | Daiko Medical Engineering Research Institute |
Author | Shigeki Toma | Toma Medical Clinic |
[ Summary ] | In order to perform a buttonhole puncture, a fixed puncture route must be created. Thereafter, a blood access puncture is done during every HD session by inserting a dull puncture needle through the fixed puncture route. Prior to this, the access vessel is punctured by the same experienced medical staff, using sharp needles, until a fixed puncture route is established. In the new method, after the usual HD, a thumbtack-shaped stick is inserted toward the access vessel along the same path as the puncture needle which had been just removed. This is left in place for 2 weeks. Then, the stick-indwelling is replaced by a new one at every HD session. Buttonhole punctures may prolong the life of access vessels. |