Anaesthesia Choice for Creation of Arteriovenous Fistula (ACCess) study protocol: a randomised controlled trial comparing primary unassisted patency at 1 year of …
AJR Macfarlane, RJ Kearns, MJ Clancy… - BMJ open, 2021 - bmjopen.bmj.com
Introduction Arteriovenous fistulae (AVF) are the 'gold standard'vascular access for
haemodialysis. Universal usage is limited, however, by a high early failure rate. Several
small, single-centre studies have demonstrated better early patency rates for AVF created
under regional anaesthesia (RA) compared with local anaesthesia (LA). The mechanistic
hypothesis is that the sympathetic blockade associated with RA causes vasodilatation and
increased blood flow through the new AVF. Despite this, considerable variation in practice …
haemodialysis. Universal usage is limited, however, by a high early failure rate. Several
small, single-centre studies have demonstrated better early patency rates for AVF created
under regional anaesthesia (RA) compared with local anaesthesia (LA). The mechanistic
hypothesis is that the sympathetic blockade associated with RA causes vasodilatation and
increased blood flow through the new AVF. Despite this, considerable variation in practice …
[HTML][HTML] Protocol: Anaesthesia Choice for Creation of Arteriovenous Fistula (ACCess) study protocol: a randomised controlled trial comparing primary unassisted …
AJR Macfarlane, RJ Kearns, MJ Clancy, D Kingsmore… - BMJ Open, 2021 - ncbi.nlm.nih.gov
Introduction Arteriovenous fistulae (AVF) are the 'gold standard'vascular access for
haemodialysis. Universal usage is limited, however, by a high early failure rate. Several
small, single-centre studies have demonstrated better early patency rates for AVF created
under regional anaesthesia (RA) compared with local anaesthesia (LA). The mechanistic
hypothesis is that the sympathetic blockade associated with RA causes vasodilatation and
increased blood flow through the new AVF. Despite this, considerable variation in practice …
haemodialysis. Universal usage is limited, however, by a high early failure rate. Several
small, single-centre studies have demonstrated better early patency rates for AVF created
under regional anaesthesia (RA) compared with local anaesthesia (LA). The mechanistic
hypothesis is that the sympathetic blockade associated with RA causes vasodilatation and
increased blood flow through the new AVF. Despite this, considerable variation in practice …
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