ButtonHole cannulation is the practice of cannulating an AV fistula by going into the exact same spot repeatedly with a dull needle. This technique has been used world wide for 35 years.
Benefits
ButtonHole with SteriPick is designed for the safe and easy removal of the ButtonHole scab that forms when using the Buttonhole technique.
Steripick
Can be removed without exposing the needle
Remains sterile until the point of use (removing the scab)
Ships with the sharp point of the needle protected
Replaces the need for tweezers or other instruments
Is available on a wide range of gauges, tubing lengths, rotating hubs, and cannula lengths
Clinical studies have also shown that patients performing buttonhole technique experience
Less discomfort than the rope-ladder technique using sharp needles
Fewer missed sticks than the rope ladder technique using sharp needles
Cannulation
There should be stringent adherence to infection control steps during Buttonhole cannulation including:
Washing access and surrounding area with soap and water. Antiseptic soap may be used.
Disinfection of access and cannulation sites with facility approved disinfectant, ensuring adherence to manufacturer instructions.
Scabs, if present, must be removed completely following the facility protocol, which may include sterile gauze, scab removal devices, or sterile tweezers. Do not use needle to remove scabs.
Disinfection of the cannulation site is repeated after scab removal.
Cannulation is completed using aseptic technique.
After needle removal, the application of an antibiotic ointment may be considered by the facility.