The journal of vascular access
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Randomized Controlled Trial Comparative Study
Comparison between local and regional anesthesia in arteriovenous fistula creation.
Assessment of the effectiveness of brachial plexus block (BPB) via axillary approach compared to regional anesthesia for arteriovenous fistula surgery in patients affected by end-stage renal disease. ⋯ The axillary-approached BPB was more advantageous than local anesthesia. Its effectiveness was because of venous dilation and the decrease in the PI, consequent to the reduction in peripheral resistances and the increase in local blood flow, thus offering an ideal background for fistula creation and short-term patency.