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2020 May 18

Rev Esp Anestesiol Reanim

Addition of serratus-intercostal plane block/BRILMA for arteriovenous access surgery.


Sanllorente-Sebastián R, Rodríguez-Joris E, Avello-Taboada R, Fernández-López L, Ayerza-Casas V, Robador-Martínez D
Rev Esp Anestesiol Reanim. 2020 May 18.
PMID: 32439231.


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.