The Buttonhole Technique: Strategies To Reduce Infections
Lynda K. Ball
Nephrology Nursing Journal, 37(5), 473-478
Submitted By Mr Jeff Chong
The buttonhole technique has been utilized in the United States for over 10 years, and it has been very effective in reducing pain associated with cannulation, empowering patients to learn to self-cannulate, and decreasing complications related to site rotation cannulation. Unfortunately, there is one aspect of this technique that may impact its use – high infection rates.
Over the course of the last 20 years, there has been very limited published literature identifying concerns or complications associated with the buttonhole technique. It has only been within the last four years that research has been published citing infection as a potential problem requiring the renal community’s attention (Doss, Schiller, & Moran, 2008; Marticorena et al., 2006, 2009; van Loon, Goovaerts, Kessels, van der Sande, &Tordoir, 2009; Verhallen, Kooistra, & Van Jaarsveld, 2007). This article discusses specific issues associated with the buttonhole technique and identifies strategies to reduce the incidence of infection.
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