Abstract:

Abstract Objective: To compare local anesthesia and regional anesthesia techniques in the creation of AVFs for hemodialysis in patients with chronic kidney disease. Methods: A total of 90 patients who underwent AVF creation were divided into regional and local anesthesia groups. Postoperative complications, maturation time and running status of the fistulas were recorded and compared between the two groups. All patients were followed-up for six months. AVF creation was performed by shunting the cephalic vein to the radial artery of the wrist under either local or regional anesthesia. Results: No significant difference was found between the groups in terms of age (p=0.209) and gender (p=0.455). The most commonly encountered postoperative complications included pain, hematoma and infection. There was no significant difference between the groups in terms of postoperative complications (for all p>0.05). No statistically significant difference was observed between the groups in terms of the running status of the fistulas (for all p>0.05). The median maturation time was statistically significantly shorter in patients undergoing regional block anesthesia (p<0.001). Conclusion: All patients successfully received hemodialysis through the created fistulas. Fistula maturation times were shorter with regional block anesthesia. The shorter median maturation period makes regional anesthesia superior over local anesthesia. However, since there is no consensus on this issue yet, it would be beneficial to continue studies on the subject.

Keywords: