Yes, on the arm opposite the fistula. Never on the same arm as the fistula
Yes. I get blood taken out of my arm and put back in through the fistula for "Dialysis".
Yes
When performing a venipuncture, the patient's arm should be extended and positioned comfortably, ideally at a 30-degree angle to facilitate access to the veins. The arm should be supported to minimize movement and help the healthcare provider easily locate the vein. It's important to ensure the area is clean and the patient is relaxed to reduce anxiety and improve the success of the procedure. Additionally, the patient's palm can be facing upward to enhance vein visibility.
According to CLSI the tourniquet should not be left on for more than a minute. If a suitable vein has not been found, remove the tourniquet, leave it off for two minutes, then reapply the tourniquet to look for suitable veins and/or perform the venipuncture.
The small saphenous vein is not typically used for venipuncture. This vein runs along the back of the leg and is deeper and more difficult to access compared to other veins, such as the median cubital vein in the arm. Additionally, it is primarily used for venous drainage of the lower limb rather than for blood draws. Venipuncture is usually performed on veins that are more superficial and easier to palpate.
Aren't the veins closer to the surface on medial?
If the AV fistula is for the purpose of haemodialysis, the preferred sites are: the wrist on the non-dominant forearm, the wrist on the dominant forearme, the cubital fossa (elbow) of either arm.
An artificial shunt for hemodialysis, either a fistula (direct artery to vein connection) or a graft (artery to vein connection through Goretex tubing), can be on the arm, or preferably on the forearm for a fistula. A fistula, and even less so a Goretex, will not burst because of applying pressure through a sphygmomanometer (which was the original answer posted here). There is a slight risk of causing a thrombosis of the venous side of the fistula, particularly if there is already a venous stenosis.
A fistula is the "port" that is created to administer dialysis (for those with kidney disease whose kidneys cannot, for whatever reason, filter out the blood properly)-and the "ligation" of a fistula is the tying off of that "port", to put it at the lowest level, when it can no longer be used, to create another fistula in another part of the arm. There are different ways to do this.
The puncture of a vein is commonly referred to as venipuncture. This procedure is typically performed to draw blood for testing or to administer medications. It involves inserting a needle into a vein, usually in the arm, to access the circulatory system safely. Venipuncture is a routine practice in medical settings and requires proper technique to minimize discomfort and reduce the risk of complications.
I think just because its a pain to get a good AV fistula and you don't want to do anything to compromise it. They also aren't allowed to sleep on that arm, lift things with that arm, etc.