The Benefit of Infiltration Anesthesia Compares to Axillary Block Anesthesia for Arteriovenous Fistula Formation

Hendro Sudjono Yuwono^1,

¹Division of Vascular Surgery, Department of Surgery, Padjadjaran University, Bandung, Indonesia

Cite this paper:
Hendro Sudjono Yuwono. The Benefit of Infiltration Anesthesia Compares to Axillary Block Anesthesia for Arteriovenous Fistula Formation. Global Journal of Surgery. 2015; 3(1):1-3. doi: 10.12691/js-3-1-1

Abstract

Arteriovenous fistula (AVF) is a vascular access for hemodialysis patients. This is a prospective clinical study to discover the benefit of axillary block anesthesia using lidocaine compared with infiltration anesthesia in radiocephalic fistula formation in the wrist. From July 1, 2013 to February 28, 2014, collected 130 patients using infiltration anesthesia categorized as Group-1, and another 130 patients using regional axillary block anesthesia categorized as Group-2. Group-1: lidocaine HCl 2% required per patient was in average 6.16 ml (123.2 mg lidocaine). Group-2: each patient required 15 ml. of lidocaine HCl 1.5% (225 mg lidocaine), and additional 3 ml lidocaine 2% (60 mg lidocaine) for 40 patients caused by less effective bloks. There was no serious operative complication or drug adverse reaction. The amount of lidocaine used for infiltration anesthesia significantly fewer in volume (P<0.05) when compared with axillary block anesthesia. AVF operation time was shorter in Group-1 compared with Group-2 (P=0.60), because the waiting time of anesthetic onset longer and often required additional lidocaine infiltration after axillary block. In conclusion, this study recommends to make radiocephalica surgery with anesthesia infiltration technique, because it is simpler, faster and less use of lidocaine.

Keywords:
arteriovenous fistula end stage renal disease axillary block anesthesia infiltration anesthesia

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