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Stellate Ganglion Block to Preserve AV Fistula in Hemodialysis Patients in Orthopedic Surgery
August 2025
Stellate Ganglion Block to Preserve AV Fistula in Hemodialysis Patients in Orthopedic Surgery
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Stellate ganglion block for preserving arteriovenous fistula in hemodialysis patients undergoing major lower limb orthopedic surgeries: randomized control trial.
BMC Anesthesiol . 2025 May 31;25(1):277.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Fifty patients with end-stage renal disease on hemodialysis undergoing major lower-limb orthopedic surgery were randomized to receive ultrasound-guided stellate ganglion block (SGB) with 7.5 mL bupivacaine 0.25% before spinal anesthesia (n=25) or a sham procedure without stellate injection (n=25). The primary outcome of interest was AVF flow rate (Doppler) on postoperative days 1 and 7. Secondary ...
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