Journal of Surgery and Trauma

en Intravenous Regional Anesthesia (Bier Block) Method for Arteriovenous Fistula creation in patients with End Stage Renal Disease Intravenous Regional Anesthesia (Bier Block) Method for Arteriovenous Fistula creation in patients with End Stage Renal Disease بیهوشی Anesthesia پژوهشي Research   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.   Bier block, AVF creation, hemodialysis, local anesthesia 11 15 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-31-1&slc_lang=en&sid=1 Gholam-Hossein Kazemzadeh Gholam-Hossein Kazemzadeh 10031947532846003190 10031947532846003190 No Vascular and Endovascular Surgery Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran Alireza Bameshki Alireza Bameshki bameshkiar@mums.ac.ir 10031947532846003191 10031947532846003191 Yes Vascular and Endovascular Research Center, Department of Vascular Surgery, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran Mehdi Fathi Mehdi Fathi 10031947532846003192 10031947532846003192 No Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Saeed Jahanbakhsh Saeed Jahanbakhsh 10031947532846003193 10031947532846003193 No Department of anesthesiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Elena Saremi Elena Saremi 10031947532846003194 10031947532846003194 No Vascular and Endovascular Surgery Research Center, Department of Vascular Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Azra Shoorvarzi Azra Shoorvarzi 10031947532846003195 10031947532846003195 No Mashhad University of Medical Sciences, Mashhad, Iran