Tumescent anesthesia reduces pain associated with balloon angioplasty of hemodialysis fistulas.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 22885129.
- Also identified by DOI 10.1016/j.jvs.2012.05.094.
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Abstract
We describe the use of tumescent local anesthesia during endovascular treatment of arteriovenous fistula stenosis. Using ultrasound guidance, 11 patients were hand-injected with tumescent lidocaine anesthesia around the fistula stenosis prior to endovascular therapy. All patients rated the pain experienced during angioplasty on a numeric scale (0-10). The mean balloon inflation pressure was 12 ± 3.01 atm. During angioplasty, eight patients reported pain between 0 and 2; three patients reported 4, 5, and 7 out of 10 on the pain scale. In this small series, tumescent anesthesia provided adequate pain control to perform angioplasty of arteriovenous fistulas.
Medical subject headings
- Anesthesia, Local
- Angioplasty, Balloon
- Arteriovenous Shunt, Surgical
- Pain
- Renal Dialysis