I have learnt alot through this website alone.Thanks alot.

Is there any written information regarding cannulating bevel down or up.. Our institution has asked us to cannulate bevel down.
*Mind you I feel very confident cannulating bevel down, i find that i get less bleeding on entry.
*Better AP and VP.
*Less Bleeding post removal of needles.
*Told that there is less damage to grafts and fistulas.

I tried the cannulating thy own needle, that you described and when i cannulate bevel up, there is an upward flap that is created.

Bevel down creates a lower end flap and when i questioned about this, was told that the lower end flap will heal quicker than the upward flap..

When i use the bevel down technique I dont need to flip the needle..

Can you give me some data regarding this, is this true.

Thanks alot
LeahRN

Leah,

All current cannulation techniques are based on opinion and theory. The clinical studies necessary to prove evidence-based cannulation practice guidelines have not been conducted. Thus, no one knows which technique is the best. Until the studies are done, we rely on empirical experiences.

Cannulation is a very important issue because patients have two needles inserted into a fistula or graft three times a week. A patient will receive 312 needle sticks per year if only two needles are used each treatment.
Your feedback about the bevel down is interesting. I hope a definitive clinical study will be done to show us all if this is the better way.


[Note: This message has been edited by Deborah Brouwer]

Thanks Deb for the feedback..

We now have an access coordinator and i will offer to take part in a small study re cannulating bevel up and bevel down technique and will be happy to give you results..

Thanks again
LeahRN