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:: Volume 1, Number 1 (October 2013) ::
Journal of Surgery and Trauma 2013, 1(1): 11-15 Back to browse issues page
Intravenous Regional Anesthesia (Bier Block) Method for Arteriovenous Fistula creation in patients with End Stage Renal Disease
Gholam-Hossein Kazemzadeh, Alireza Bameshki , Mehdi Fathi, Saeed Jahanbakhsh, Elena Saremi, Azra Shoorvarzi
Associate professor of anesthesiology Vascular and Endovascular Research Center, Department of Vascular Surgery, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran
Abstract:   (15629 Views)

 

Introduction: Hemodialysis through creation of arteriovenous fistula (AVF) is an established surgical procedure for patients with End Stage Renal Disease (ESRD). Anesthetic methods management for this surgery should deal with different risk factors such as hypertension, ischemic heart disease and diabetes. Intravenous Regional Anesthesia (IVRA) or Bier block anesthesia as an option for AVF creation has reportedly been attributed to some advantages over other techniques in AVF creation. The present study aims to evaluate the efficacy of Bier block in AVF creation and compare its efficacy with local anesthesia. 

 

Methods: The subjects of the study were the patients (n=60, aged 20-65 years), who had been admitted for an AVF creation. The patients were divided into two randomly assigned matched groups: Local Anesthesia (LA) group and Intravenous Regional Anesthesia (IVRA) group. 

 

Results: The patients’ satisfaction levels, simplicity and feasibility of the procedure in the IVRA group were higher, compared to the LA group (94.1%, 66.7%, and 4.85% vs. 82.8%, 51.7% and 3.5%, respectively). However, these differences were not statistically significant.

 

Conclusions: The two main advantages of Bier block technique are the simplicity of operation and provision of a bloodless field for surgeon. It provides maximum dilatation in veins through the injection of the anesthetic drug and placing a tourniquet on it.

 

Keywords: Bier block, AVF creation, hemodialysis, local anesthesia
Full-Text [PDF 617 kb]   (1271 Downloads)    
Type of Study: Research |
Received: 2013/08/26 | Accepted: 2013/11/26 | Published: 2013/11/26
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Kazemzadeh G, Bameshki A, Fathi M, Jahanbakhsh S, Saremi E, Shoorvarzi A. Intravenous Regional Anesthesia (Bier Block) Method for Arteriovenous Fistula creation in patients with End Stage Renal Disease. Journal of Surgery and Trauma . 2013; 1 (1) :11-15
URL: http://jsurgery.bums.ac.ir/article-1-25-en.html
Volume 1, Number 1 (October 2013) Back to browse issues page
نشریه جراحی و تروما Journal of Surgery and Trauma
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