Surgical arteriovenous fistula for renal access dialysis Nutritional, Metabolic, Endocrine Dependence on renal dialysis
Conditions
Interventions
We are comparing two well established approaches to the creation of arteriovenous fistulas for renal access dialysis:
1. Arteriovenous fistula created under regional axillary block using levobupivaca
Sponsors
City Hospitals Sunderland NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients referred for creation of a new radiocephalic or brachiocephalic fistula who consent to take part in the study and agree to have the procedure performed while conscious. 2. Aged 18 - 90 3. Male and female participants
Exclusion criteria
Exclusion criteria: 1. Patients who require revision surgery. 2. Having had previous arteriovenous fistula surgery is not a contraindication to recruitment provided the new procedure is not revision surgery 3. Patients undergoing the procedure under General Anaesthetic 4. Known allergy to levobupivacaine (extremely rare)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fistula Doppler flow rate measurement at eight weeks post operatively. This measurement is already performed on all arteriovenous fistulas as part of routine arteriovenous fistula management. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. A patient satisfaction survey pertaining to patient experience of the local/regional anaesthetic techniques, the surgical procedure and their overall hospital experience will be undertaken 2. A standardized and validated questionnaire using a 5-point Likert scale will be provided to patients following the procedure and we will ask them to complete it before they leave hospital | — |
Countries
United Kingdom
Outcome results
None listed