Addition of serratus-intercostal plane block/BRILMA for arteriovenous access surgery.
ARTERIOVENOUS: access creation is mandatory in patients with end stage renal disease for hemodialysis treatment. It frequently involves upper arm or axillary dissection and general anesthesia is predominantly used as axillary compartment innervation is complex. Avoiding general anesthesia may be beneficial in these risk patients. We present two cases where serratus-intercostal plane block (SIPB/BRILMA) was used, along with ultrasound guided supraclavicular block and multimodal analgesia for proximal arm and axillary AV access surgery. Regional anesthesia combination of supraclavicular and serratus-intercostal/BRILMA block in arteriovenous fistula surgery was successful and should be considered by anesthesiologist in order to avoid general anesthesia.
['Sanllorente-Sebastián|R|R|', 'Rodríguez-Joris|E|E|', 'Avello-Taboada|R|R|', 'Fernández-López|L|L|', 'Ayerza-Casas|V|V|', 'Robador-Martínez|D|D|']
D000368:Aged D000369:Aged, 80 and over D001166:Arteriovenous Shunt, Surgical D065527:Brachial Plexus Block D005260:Female D006801:Humans D007367:Intercostal Nerves D008297:Male
Serratus-intercostal Block Supraclavicular Arteriovenous fistula Bloqueo Fístula arteriovenosa Sedación Sedation Serrato-intercostal