Anesthetic choice for arteriovenous access creation: A National Anesthesia Clinical Outcomes Registry analysis.
BACKGROUND: We sought to evaluate differences in primary anesthetic type used in arteriovenous access creation with the hypothesis that administration of regional anesthesia and monitored anesthesia care (MAC) with local anesthesia as the primary anesthetic has increased over time.
METHODS: National Anesthesia Clinical Outcomes Registry data were retrospectively evaluated. Covariates were selected a priori within multivariate models to determine predictors of anesthetic type in adults who underwent elective arteriovenous access creation between 2010 and 2018.
RESULTS: A total of 144,392 patients met criteria; 90,741 (62.8%) received general anesthesia. The use of regional anesthesia and MAC decreased over time (8.0%-6.8%, 36.8%-27.8%, respectively; both
CONCLUSIONS: Use of regional anesthesia and MAC with local anesthesia for arteriovenous access creation has decreased over time with general anesthesia remaining the primary anesthetic type. Anesthetic choice, however, varies with patient characteristics and geography.
Published In/Presented At
Woods, K., Minc, S. D., Thibault, D., Lambert, J., Jalil, A., Marone, L., Ellison, M., Hayanga, J. A., & Hayanga, H. K. (2021). Anesthetic choice for arteriovenous access creation: A National Anesthesia Clinical Outcomes Registry analysis. The journal of vascular access, 11297298211045495. Advance online publication. https://doi.org/10.1177/11297298211045495
Medicine and Health Sciences
Department of Surgery, Department of Surgery Residents, Fellows and Residents