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...can't always if the blunt needle is sliding smoothly through the tunnel, or if it is damaging the "wall" of the tunnel track.
A: Typically, nurses are taught to hold the "wings" of fistula needles for control of the needle as they canulate a fistula or graft to initiate hemodialysis (see Figure 1), and this has become standard practice over the years. This Clinical Consult column describes a relatively new technique we have dubbed "touch cannulation." When using this technique, the...
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