Does regional compared to local anaesthesia influence outcome after arteriovenous fistula creation?

ABSTRACT:

Background

An arteriovenous fistula is the optimal form of vascular access in patients with end-stage renal failure requiring haemodialysis. Unfortunately, approximately one-third of fistulae fail at an early stage. Different anaesthetic techniques can influence factors associated with fistula success, such as intraoperative blood flow and venous diameter. A regional anaesthetic brachial plexus block results in vasodilatation and improved short- and long-term fistula flow compared to the infiltration of local anaesthetic alone. This, however, has not yet been shown in a large trial to influence long-term fistula patency, the ultimate clinical measure of success.The aim of this study is to compare whether a regional anaesthetic block, compared to local anaesthetic infiltration, can

SUBMITTER: Macfarlane AJ 

PROVIDER: S-EPMC3765116 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature