Hi Denise,

Yes this is what I do and if I cannot get an adequate size our docs
want a tourniquet used to see if it'll enlarge.

Great discussion.

Sincerely, 

Nicole Ball, BS, RVT
Technical Director, Vascular Lab
Concord Hospital
250 Pleasant Street
Concord, NH  03301
http://nnevs.org


>>> Denise Levy <[log in to unmask]> 2/3/2021 10:08 PM >>>


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Hi, Typical me.. I find what I am looking for while waiting for a
response. The answer is in the SVU guideline.. 
PATIENT POSITIONING • Positioning is supine, in sitting position or
reverse Trendelenburg to promote vein dilatation, with the arm relaxed
and extended out to the side. For patient comfort, it is helpful to
support the arm on a bedside table/pillow. • The room should be warm and
limbs covered until ready to be imaged to reduce vasoconstriction. link
below. 
https://higherlogicdownload.s3.amazonaws.com/SVUNET/c9a8d83b-2044-4a4e-b3ec-cd4b2f542939/UploadedImages/PPG_Docs/10__Upper_Extremity_Mapping_for_Creation_of_Dialysis_Access_or_Bypass_Graft__Updated_2018_.pdf
(
https://urldefense.com/v3/__https://higherlogicdownload.s3.amazonaws.com/SVUNET/c9a8d83b-2044-4a4e-b3ec-cd4b2f542939/UploadedImages/PPG_Docs/10__Upper_Extremity_Mapping_for_Creation_of_Dialysis_Access_or_Bypass_Graft__Updated_2018_.pdf__;!!KXLdbwIpKtyU!9c4liYCAfRTPBmTy9-KKl8rQD41EWzApx8gxTdmj1gANTEBFj8wmKH3Ir9Y$)

Whatever position makes the vein the largest with that particular
patient. I prefer the patient supine and warm. I also scan backwards for
the left arm rotating the bed and the patients love the ride. 
Still would love to hear from everyone who would like to chime in.
Gotta keep those flownet people communicating.
Thank you in advance and my best, Denise 

Denise Levy
[log in to unmask]
[log in to unmask]
RDMS, RVT, RDCS

Saratoga, CA



On Wed, Feb 3, 2021 at 6:34 PM Denise Levy <[log in to unmask]>
wrote:


Hello all,
Please weigh in on patient positioning for upper extremity vein mapping
for creation of fistula besides the use of a pressure cuff no higher
than 60 mm/hg.
Two thoughts, I have done both and prefer supine, recumbent. Just to
clarify in my protocols. Thank you all, Denise
Vole
1. supine with a pillow
2. sitting position.


Denise Levy
[log in to unmask]
[log in to unmask]
RDMS, RVT, RDCS

Saratoga, CA

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