Birchenough Erin, Moore Coleen, Stevens Keri, Stewart Steven
Renal Care of Northern New York, Watertown, NY, USA.
Nephrol Nurs J. 2010 Sep-Oct;37(5):491-8, 555; quiz 499.
In the U.S., the rope-ladder technique for cannulating arteriovenous fistulas has been the technique of choice in patients on hemodialysis. Recently, the buttonhole cannulation technique has been gaining popularity. Based upon review of the literature and developments in clinical practice, an important question is posed regarding infection rates in those utilizing this technique. This article discusses those findings, presents a change in practice, and provides recommendations for practice.
在美国，用于动静脉内瘘插管的绳梯技术一直是血液透析患者的首选技术。最近，纽扣式插管技术越来越受欢迎。基于文献综述和临床实践的发展，针对使用该技术患者的感染率提出了一个重要问题。本文讨论了这些研究结果，提出了实践中的变化，并提供了实践建议。
