bandage-green

Dialysis Access Creation and Revision

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, one arm extended, Bed turned 30 degrees
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : No
Blocks : Supraclavicular, Axillary
Considerations : Fluoroscopy / Xray, Off-site, Aspiration risk / Full stomach, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1MAC, Nerve Block, Propofol Drip
2GLMA, Nerve Block
3MAC, Propofol Drip, Local Anesthetic
The Surgery

Planning - duplex vein mapping plus a pulse and Allen examination pick the site, and the surgeon starts as distally as the vessels allow so that a failure leaves proximal options intact. A vein...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?