I work on a haemodialysis unit in Denmark. We currently use metal needles to access AV fistulas for haemodialysis. I am curious to see if there is any convincing evidence for the use of plastic cannulas over trational metal dialysis needles,  for example reduced trauma, haemotomas and extravasion, increased longlevity of fistula,  reduced percieved pain, reduced incidence of needle-stick injuries in health care workers etc.

Many thanks Johnny Hooper

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