Hospital of Sabadell

Vascular accesses

FAVI

FAVI

It consists in establishing a connection called anastomosis, between an artery and a superficial vein for the development and puncture of the latter.

Recommendations

  • Check the functioning of the fistula daily by touching the area of ​​the anastomosis with your fingers to feel the murmur of the fistula or thrill.
  • Avoid bumps and compress the fistula arm (watch, tight clothes, carry the shopping basket, mobilize bottles, circular or compressed bandages .....).
  • DO NOT use the fistula arm to perform blood tests or to take blood pressure.

Basic care after hemodialysis

  1. Remove the dressings / strips 24 hours after placement.
  2. Perform warm water baths with salt on the arm of the fistula on the days that do not come for hemodialysis.
  3. Apply a slight circular massage to the puncture area with Thrombocid
  4. Wash the fistula arm with soap and water before entering the HD room.
     

Remember: Whenever you go to the hospital, identify the FAVI arm with the identification bracelet.

Graft

Graft

It is created by interposing a U-shaped plastic tube that is placed under the skin to join the artery and vein. This can be put on an arm or thigh.

It is advisable to take into account the same recommendations, basic care and alarm signs in front of a graft as in front of a FAVI.

BUTTONHOLE

BUTTONHOLE

FAVI puncture method at a single point, with the same angle and depth at each hemodialysis session, creating a subcutaneous tunnel that facilitates puncture and minimizes complications.

It is advisable to take into account the same recommendations, basic care and alarm signs in front of a Buttonhole as in front of a FAVI.

Catheter

Catheter

It consists of the insertion of a device with two lights into an important vein, usually jugular or femoral. The blood comes out of one light, which is purified and cleansed by the other light in the catheter. There are two types of catheter according to their duration: transient or permanent.

Recommendations

  • Never touch the catheter dressing.
  • Avoid getting the catheter dressing wet in the toilet.
  • Never lift the dressing from the catheter.
     

Remember: The catheter dressing should always be closed, dry and clean. For any manipulation you should consult with nephrology nursing.

Contact in case of emergency if:

FAVI OR GREEN

  • Significant bleeding from the fistula or graft after gentle compression with a clean handkerchief or gauze for 30 min.
  • Whenever any of these symptoms appear suddenly on the fistula arm:
    • Major pain or inflammation.
    • Decreased sensitivity in the arm or hand of the fistula.
    • Any sign of infection: heat, redness, suppuration, pain, hardening ...
  • In the suspicion that the fistula has stopped working.

CATHETER

  • Significant bleeding through the dressing of the catheter.
  • Severe onset pain in the catheter area.
  • Fever and general malaise (chills, tyretone ...)
  • Drop the catheter dressing or need to change it (wet, dirty)