Anesthesia and Perioperative Management Considerations for the Patients Undergoing Hemodialysis Access Procedures

  • Koichiro NandateEmail author
  • Susanna Shin


Procedures to establish hemodialysis access are common and increasing in frequency as more and more patients are diagnosed with advanced chronic kidney disease and end-stage renal disease. This chapter will describe the essentials of anesthesia management for hemodialysis access surgery: choice of anesthesia method, preanesthesia preparation, and intraoperative and postoperative management.


Hemodialysis anesthesia Anesthesia ESRD anesthesia 


  1. 1.
    Mathew A, Devereaux PJ, O’Hare A, et al. Chronic kidney disease and postoperative mortality: a systematic review and meta-analysis. Kidney Int. 2008;74:1069–81.CrossRefGoogle Scholar
  2. 2.
    Brown JH, Hunt LP, Vites NP, et al. Comparative mortality from cardiovascular disease in patients with chronic renal failure. Nephrol Dial Transplant. 1994;9:1136–42.CrossRefPubMedGoogle Scholar
  3. 3.
    National institute for clinical excellence (NICE). Preoperative tests. Clinical guideline, Vol 3. 2003.Google Scholar
  4. 4.
    Trainor D, Borthwick E, Ferguson A. Perioperative management of the hemodialysis patient. Semin Dial. 2011;24:314–26.CrossRefPubMedGoogle Scholar
  5. 5.
    Wongyingsinn M, Suksuriyayothin S. Use of rapid ABG analyzer in measurement of potassium concentration: does it agree with venous potassium concentration? J Med Assoc Thai. 2009;92:925–9.PubMedGoogle Scholar
  6. 6.
    Kllerman PS. Preoperative care of the renal patient. Arch Intern Med. 1994;154:1674–88.CrossRefGoogle Scholar
  7. 7.
    Brenowitz JB, Williams CD, Edwards WS. Major surgery in patients with chronic renal failure. Surg. 1977;134:765–9.CrossRefGoogle Scholar
  8. 8.
    Poli F, Scalamogna M, Cardillo M, Porta E, Sirchia G. An algorithm for cadaver kidney allocation based on a multivariate analysis of factors impacting on cadaver kidney graft survival and function. Transpl Int. 2000;13:S259–62.CrossRefPubMedGoogle Scholar
  9. 9.
    Al-mustafa MM, Massad I, Alsmady M, et al. The effect of low serum bicarbonate values on the onset of action of local anesthesia with vertical infraclavicular brachial plexus block in patients with end-stage renal failure. Saudi J Kidney Dis Transpl. 2010;21:494–500.PubMedGoogle Scholar
  10. 10.
    Craig RG, Hunter JM. Recent developments in the perioperative management of adult patients with chronic kidney disease. Br J Anaesth. 2008;101:296–310.Google Scholar
  11. 11.
    Malinzak EB, Gan TJ. Regional anesthesia for vascular access surgery. Anesth Analg. 2009;109:976–80.CrossRefPubMedGoogle Scholar
  12. 12.
    Reynolds TS, Kim KM, Dukkipati R, et al. Pre-operative regional block anesthesia enhances operative strategy for arteriovenous fistula creation. J Vasc Access. 2010;12:336–40.CrossRefGoogle Scholar
  13. 13.
    Shemesh D, Raikhinstein Y, Orkin D, et al. Anesthesia for vascular access surgery. J Vasc Access. 2014;15:S38–44.CrossRefPubMedGoogle Scholar
  14. 14.
    Horlocker TT. Regional anaesthesia in the patient receiving antithrombotic and antiplatelet therapy. Br J Anaesth. 2011;107:i96–106.CrossRefPubMedGoogle Scholar
  15. 15.
    Neal JM. Ultrasound-guided regional anesthesia and patient safety: an evidence-based analysis. Reg Anesth Pain Med. 2010;35:S59–67.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Harborview Medical CtrAnsthsgySeattleUSA
  2. 2.Department of SurgeryUniversity of WashingtonSeattleUSA

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