83 Twardowski Z The History of Buttonhole Technique.pptx ... - SFAV
83 Twardowski Z The History of Buttonhole Technique.pptx ... - SFAV
83 Twardowski Z The History of Buttonhole Technique.pptx ... - SFAV
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Why the method was dormant<br />
for many years?<br />
• In the 1980s and early 1990s high dialyzer<br />
blood flow and short dialysis was prevalent<br />
in the USA.<br />
• Most patients had graft fistulas or catheters<br />
• My attempts to introduce this method in<br />
Columbia, MO, were unsuccessful<br />
• Blunt needles were not available<br />
• <strong>The</strong>re was tremendous rotation <strong>of</strong> the staff<br />
• No nurse to establish the path and champion the<br />
method