scholarly journals Comparison of local anesthesia and regional block anesthesia techniques in the creation of arteriovenous fistulas for hemodialysis

2021 ◽  
Author(s):  
Ufuk Turan Kürşat KORKMAZ
Keyword(s):  
Local Anesthesia ◽  
Arteriovenous Fistulas ◽  
Regional Block ◽  
The Creation

Analysis of 855 Upper Extremity Fistulas Created Using a Standard Protocol: The Role of Graft Extension to Achieve Functional Status

2013 ◽  
Vol 79 (6) ◽  
pp. 625-629
Author(s):  
Bassan J. Allan ◽  
Enrique R. Perez ◽  
Marwan Tabbara
Keyword(s):  
Upper Extremity ◽  
Chronic Hemodialysis ◽  
Standard Protocol ◽  
Hemodialysis Access ◽  
Arteriovenous Fistulas ◽  
Excellent Method ◽  
The Creation ◽  
National Programs ◽  
Current Guidelines

The Fistula First Breakthrough Initiative (FFBI) has been one of the most important national programs to help achieve considerable improvements in the care of patients on chronic hemodialysis. FFBI has helped place guidelines to push practitioners to reduce the use of tunneled central venous catheters and to increase the rate of arteriovenous fistula use in patients requiring chronic hemodialysis access. However, despite current guidelines, no specific protocols exist for the creation and management of autogenous arteriovenous fistulas and outcomes at most centers are below national benchmarks. In this study, we examine the effectiveness of a standard protocol used at our institution for the creation of autogenous upper extremity fistulas for hemodialysis access in achieving early cannulation and early removal of tunneled dialysis catheters. Our review encompasses 855 consecutive autogenous fistulas created over a 10-year period. Our findings suggest that the use of a standard protocol for creation and management of autogenous fistulas can help increase the rate of functional accesses over national benchmarks. Additionally, extension/conversion of malfunctioning fistulas to grafts appears to be an excellent method to expedite removal of a tunneled dialysis catheter with concomitant preservation of a fistula.

THE CREATION OF ARTIFICIAL SUBCUTANEOUS ARTERIOVENOUS FISTULAS IN PATIENTS WITH MALIGNANT HEMATOLOGICAL DISEASE

1977 ◽  
Vol 47 (5) ◽  
pp. 614-617 ◽  
Author(s):  
S. N. Bell ◽  
J. R. Sullivan ◽  
T. H. Hurley ◽  
V. C. Marshall
Keyword(s):  
Hematological Disease ◽  
Arteriovenous Fistulas ◽  
The Creation

Which Kind of Vascular Access for Hemodialysis in Pediatric Patients?

2003 ◽  
Vol 4 (2) ◽  
pp. 68-72 ◽  
Author(s):  
O. Manca ◽  
G.F. Pili ◽  
M.G. Murgia ◽  
A. Martorana ◽  
C. Setzu ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Surgical Procedures ◽  
Vascular Access ◽  
Surgical Procedure ◽  
Pediatric Patients ◽  
Small Diameter ◽  
Clinical Criteria ◽  
Arteriovenous Fistulas ◽  
First Choice

The choice of vascular access in hemodialysis pediatric patients can be challenging, due to the small diameter of vessels. In the last 19 years, 38 arteriovenous fistulas (AVF) for hemodialysis have been created on 21 patients; 25 of them were radio-cephalic AVF. The evaluation of the vessels was, in the majority of cases, done by clinical criteria. A local anesthesia was used in all surgical procedures. The percentage of early AVF failure was 24%. Long-term AVF survival was 97%, 65% and 55% at respectively 1, 3 and 5 years. Our data indicate that even in pediatric patients the radio-cephalic fistula is the first choice surgical procedure.

Strategies for the Creation and Maintenance of Reconstructed Arteriovenous Fistulas Using the Forearm Basilic Vein

2013 ◽  
pp. n/a-n/a
Author(s):  
Shintaro Kumano ◽  
Keiichi Itatani ◽  
Jun Shiota ◽  
Satoshi Gojo ◽  
Naoki Izumi ◽  
...  
Keyword(s):  
Basilic Vein ◽  
Arteriovenous Fistulas ◽  
The Creation

scholarly journals Comparison of Primary Patency and Maturation Rate of Antecubital Artriovenous Fistula for Dialysis in Diabetic Patient with Two Methods: Regional Block with Ropivacaine 0.5% and Local Anesthesia with Lidocaine 2%

2020 ◽  
Vol 7 (4) ◽  
pp. 5
Author(s):  
Niki Tadayon ◽  
Neda Tajiknia ◽  
Mohammad Mozaffar ◽  
Faranak Behnaz ◽  
Houman Teymourian
Keyword(s):  
Blood Flow ◽  
Diabetic Patient ◽  
Local Anesthesia ◽  
Primary Patency ◽  
Diabetic Patients ◽  
Regional Block ◽  
Therapeutic Outcomes ◽  
Significant Difference ◽  
Maturation Rate ◽  
Arteriovenous Access

Background: The best arteriovenous access in diabetic patients under dialysis is crucial to attain better therapeutic outcomes and improved prognosis in the patients. The purpose in this study was to compare the primary patency and maturation rate of antecubital artriovenous fistula for dialysis in diabetic patient with two methods: regional block with Ropivacaine 0.5% and local anesthesia with lidocaine 2%. Methods and Materials: In this randomized clinical trial, 40 consecutive diabetic patients under dialysis in 2016 and 2017 in a training center were enrolled and the primary patency and maturation rate of antecubital artriovenous fistula were compared with regional block with Ropivacaine 0.5% versus local anesthesia with lidocaine 2%. Results: The results in this study demonstrated that all factors of final arterial and venous diameter, blood flow, and patency were higher in group under regional block with Ropivacaine 0.5% and all except patency showed significant difference (P < 0.05). The complications rates were alike across the groups (P > 0.05). Conclusion: Totally, according to the obtained results, it may be concluded that regional block with Ropivacaine 0.5% is superior to local anesthesia with lidocaine 2% leading to higher patency rate and shorter maturation time and also higher arteriovenous diameter and blood flow.

scholarly journals The importance of anesthesiological methods in the creation of arteriovenous fistulas

2021 ◽  
Vol 8 (3) ◽  
pp. 1068
Author(s):  
Radojica V. Stolić ◽  
Snezana Markovic-Jovanovic ◽  
Vladan Perić ◽  
Vekoslav Mitrović ◽  
Goran Relić ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Arteriovenous Fistula ◽  
Local Anesthesia ◽  
Motor Neurons ◽  
Individual Characteristics ◽  
Fistula Formation ◽  
Arteriovenous Fistulas ◽  
Increased Risk ◽  
Wide Range ◽  
Stage Renal Disease

All anesthesia procedures represent a real danger to life in patients with renal insufficiency, which is why these patients are classified in category IV, so anesthesia procedures for this population are adjusted depending on their individual characteristics. Although local and general anesthesia are acceptable modalities for arteriovenous fistula formation, it is known that local anesthesia is associated with tissue reduction and edema, which may be associated with reduced electrocautery efficiency, increased risk of infection, and vasospasm, especially with repeated injections. It must be noted that there is no consensus on whether an arteriovenous fistula should be created under local, regional, or general anesthesia. Still, it is considered that regional block anesthesia provides reduced vasospasm of blood vessels, provokes venodilatation and complete sensory and blockade of motor neurons, as well as higher primary functional rates in the first 3 months, since its creation, compared with local anesthesia. Overall, patients with end-stage renal disease are a group of patients with a wide range of comorbidities which, along with chronic kidney damage, increase the risk of perioperative anesthetic complications, especially when subjected to general anesthesia. Therefore, alternative modes of anesthesia, such as local and regional blockade, could bring obvious benefits to these patients. It can be concluded that the choice of anesthesia method is determined by several interrelated factors, anesthesiologist, patient and the surgeon, which implies expertise, inclination, habits, practicality, and norms.

Microcatheter Embolization of Arteriovenous Fistulas in the Subclavian Region

1996 ◽  
Vol 37 (3P2) ◽  
pp. 900-903 ◽  
Author(s):  
M. J. Leppänen ◽  
S. K. Seppänen
Keyword(s):  
Chest Pain ◽  
Local Anesthesia ◽  
Pulmonary Circulation ◽  
Endovascular Embolization ◽  
Retrospective Evaluation ◽  
Arteriovenous Fistulas

Purpose: The retrospective evaluation is presented of 3 patients treated with endovascular embolization of arteriovenous fistulas (AVFs) in the subclavian region. Material and Methods: Three patients, 2 women and one man, were treated endovascularly in local anesthesia using microcatheters and fibered platinum microcoils. Two patients were asymptomatic and one had unexplained chest pain. Results: All 3 AVFs were successfully occluded. One coil slipped through the fistula into the pulmonary circulation but caused no clinical sequelae. Conclusion: AVFs in the subclavian region can be treated by using microcatheters and fibered platinum microcoils.

Update on the creation and maintenance of arteriovenous fistulas for haemodialysis in children

2020 ◽  
Author(s):  
Evgenia Preka ◽  
Rukshana Shroff ◽  
Lynsey Stronach ◽  
Francis Calder ◽  
Constantinos J. Stefanidis
Keyword(s):  
Arteriovenous Fistulas ◽  
The Creation

scholarly journals Cost Discrepancies in the Creation and Maintenance of Functional Arteriovenous Fistulas

2013 ◽  
Vol 58 (4) ◽  
pp. 1148-1149 ◽  
Author(s):  
Steven D. Abramowitz ◽  
Angela A. Kokkosis ◽  
Harry Schanzer ◽  
Peter L. Faries ◽  
Michael M. Marin ◽  
...  
Keyword(s):  
Arteriovenous Fistulas ◽  
The Creation
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