Anesthesiology pp 657-665 | Cite as

Anesthesia for AV Fistulas (Upper Extremity)

  • Kavitha A. MathewEmail author
  • Joseph V. Schneider


Patients requiring surgery to create an arteriovenous (AV) fistula are those suffering end stage renal disease, or advanced chronic kidney disease with anticipated progression and future need for hemodialysis. Managing these patients in the perioperative period is challenging due to their underlying disease as well as multiple comorbidities often present in vascular surgery patients. Particularly concerning in patients presenting for AV fistula is an accurate assessment of their electrolyte balance and volume status. A day-of-surgery physical exam, as well as information regarding the patient’s last dialysis session must be evaluated prior to proceeding to the operating room. AV fistulas can be placed under general anesthesia, monitored anesthesia care with local anesthetic, or regional anesthesia.


Arteriovenous fistula End-stage kidney disease (ESRD) Chronic kidney disease Hemodialysis (HD) Peripheral nerve block (interscalene, supraclavicular, infraclavicular, axillary) 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Emory University School of MedicineAtlantaUSA
  2. 2.Department of AnesthesiologyEmory University School of MedicineAtlantaUSA

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