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May 25, 2022
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VIDEO: New technique helps reduce infections with buttonhole access

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FORT WORTH, Texas— In this video from the American Nephrology Nurses Association Annual Symposium, Peggy Bushey, BSN, RN, CDN, talks about a new technique to reduce access-related blood stream infections.

“Buttonhole cannulation technique has been the recipient of both negative and positive reviews over the last 40 years. It has been lauded as a method with the potential to preserve the life of the AVF, while at the same time, decreasing the trauma of sharp needle cannulation,” Bushey, of the University of Vermont Medical Center, and colleagues wrote in their abstract. “Unfortunately, this technique has also been associated with an increase in access-related blood stream infections.”

Bushey and her dialysis team have been using a new process for scab removal in the past 7 years to eliminate all blood stream infections in patients with a buttonhole access. While the data collected are the “result of an observational cohort report ... we feel it is adequate for consideration and can serve as a means to invoke future research,” they wrote.