Renal disease is a significant cause of morbidity and mortality in children and is uniquely challenging in the anesthetic management of pediatric patients. Perioperative pain management is a core component in the anesthetic plan. Pediatric regional anesthesia is one of the most valuable and safe tools to treat perioperative pain.

Methods

Sixty pediatric patients with chronic kidney disease scheduled for upper limb superficialization of brachiobasilic arteriovenous fistula to facilitate hemodialysis completed the study. Patients were randomly allocated into two groups; the block group received combined general anesthesia plus ultrasound-guided supraclavicular block, and the control group received general anesthesia only.

Results

The block group recorded a significantly lower fistula maturation duration, more dilatation in basilic vein diameter, lower primary failure rate, postoperative VAS scores, anesthesia …