Comparison between local and regional anesthesia in arteriovenous fistula creation

O RI CI NA LAR T I C L E

JVascAccess2011; 12 (4):331-335 .l DOI: 0 .53 01 4V4 .2011 8560

Comparisonbetweenlocaland regionalanesthesia in

arteriovenous fistula creation Atti l i o lgnaz io Lo M o n te l , G i u s e p p e D a m i a n ol , A ntoni no Mul aro2, V i ncenzo D avi de P al umbol , R o siA les s i2,M ar ia C o n c e tta G i o v i a l e l , Ga b ri e l e S pi nel l i l , C i useppe B uscemi l rD e p ar t m ent ofO nco l o g i c a la n d Su rg i c a lD i s c i p l ines,U ni versi tàdegl i S tudidi P al ermo- l tal y 2 De p ar t m ent ofB iop a th o l o g ya n d F o re n s i cM e d i cal B i otechnol ogy,U ni versi tàdegl i S tudi di P al ermo- l tal y

ABSTRACT Purpose:Assessment of the effectiveness of BrachialPlexusBlock (BPB)via axillaryapproachcomparedto regionalanesthesia for arteriovenousfistula surgery in patientsaffected by end-stagerenal disease. Methocls:We comparedforty patientsrandomlydivided into two groups.Croup A underwent BPBprocedurewith 15 mL ropivacaine1"/" and 10 mL of saline(0.9% NaCl) via axillary approach.Group B receivedlocal anesthesiawith lidocaine 2"/",Theforearm blood vesselswere assessed by Doppler ultrasonography beforeand after the intervention. Resufts:BPBperformedon Group A was associatedwith a considerablevenousdilation and a significantdecrease(48.7"/", P