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
Joint Authors
al-Mustafa, Mahmud M.
Masad, Islam
al-Smadi, Muadh
al-Qudah, Abd Allah
al-Ghanim, Subhi
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 21, Issue 3 (30 Jun. 2010), pp.494-500, 7 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2010-06-30
Country of Publication
Saudi Arabia
No. of Pages
7
Main Subjects
Topics
- Patients
- Kidneys
- Diseases
- Chronic diseases
- Local anaesthesia
- Kidney failure
- Brachial plexus
- Bicarbonate
- Cervix uteri
Abstract EN
Vertical infraclavicular brachial plexus block is utilized in patients with chronic renal failure at the time of creation of an arterio-venous fistula (AVF).
The aim of this study is to test the effect of impaired renal function, with the resulting deranged serum electrolytes and blood gases, on the success rate and the onset of action of the local anesthetics used.
In this prospective clinical study, we investigated the effect of the serum levels of sodium, potassium, urea, creatinine, pH, and bicarbonate on the onset of action of a mixture of lidocaine and bupivacaine administered to create infraclavicular brachial plexus block.
A total of 31 patients were studied.
The success rate of the block was 93.5 % (29 patients).
The mean onset time for impaired or reduced sensation was found to be 8.9 ± 4.7 mins and for complete loss of sensation, was 21.2 ± 6.7 mins.
There was no significant association with serum sodium, potassium, urea, creatinine or the blood pH level (P> 0.05).
The bivariate correlation between serum bicarbonate level and the partial and complete sensory loss was -0.714 and -0.433 respectively, with significant correlation (P= 0.00, 0.019).
Our study suggests that infraclavicular block in patients with chronic renal failure carries a high success rate; the onset of the block is delayed in patients with low serum bicarbonate levels.
American Psychological Association (APA)
al-Mustafa, Mahmud M.& Masad, Islam& al-Smadi, Muadh& al-Qudah, Abd Allah& al-Ghanim, Subhi. 2010. 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 Journal of Kidney Diseases and Transplantation،Vol. 21, no. 3, pp.494-500.
https://search.emarefa.net/detail/BIM-63608
Modern Language Association (MLA)
al-Mustafa, Mahmud 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 Journal of Kidney Diseases and Transplantation Vol. 21, no. 3 (Jun. 2010), pp.494-500.
https://search.emarefa.net/detail/BIM-63608
American Medical Association (AMA)
al-Mustafa, Mahmud M.& Masad, Islam& al-Smadi, Muadh& al-Qudah, Abd Allah& al-Ghanim, Subhi. 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 Journal of Kidney Diseases and Transplantation. 2010. Vol. 21, no. 3, pp.494-500.
https://search.emarefa.net/detail/BIM-63608
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 500
Record ID
BIM-63608