Anesthetic choice for arteriovenous access creation: A National Anesthesia Clinical Outcomes Registry analysis.
| Autor: | Woods K; Department of Medical Education, West Virginia University School of Medicine, Morgantown, WV, USA., Minc SD; Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA., Thibault D; Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA., Lambert J; West Virginia University School of Medicine, Morgantown, WV, USA., Jalil A; West Virginia University School of Medicine, Morgantown, WV, USA., Marone L; Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA., Ellison M; Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology, West Virginia University, Morgantown, WV, USA., Hayanga JA; Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA., Hayanga HK; Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology, West Virginia University, Morgantown, WV, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The journal of vascular access [J Vasc Access] 2023 Jul; Vol. 24 (4), pp. 666-673. Date of Electronic Publication: 2021 Sep 21. |
| DOI: | 10.1177/11297298211045495 |
| Abstrakt: | Background: We sought to evaluate differences in primary anesthetic type used in arteriovenous access creation with the hypothesis that administration of regional anesthesia and monitored anesthesia care (MAC) with local anesthesia as the primary anesthetic has increased over time. Methods: National Anesthesia Clinical Outcomes Registry data were retrospectively evaluated. Covariates were selected a priori within multivariate models to determine predictors of anesthetic type in adults who underwent elective arteriovenous access creation between 2010 and 2018. Results: A total of 144,392 patients met criteria; 90,741 (62.8%) received general anesthesia. The use of regional anesthesia and MAC decreased over time (8.0%-6.8%, 36.8%-27.8%, respectively; both p < 0.0001). Patients who underwent regional anesthesia were more likely to have ASA physical status >III and to reside in rural areas (52.3% and 12.9%, respectively; both p < 0.0001). Patients who underwent MAC were more likely to be older, male, receive care outside the South, and reside in urban areas (median age 65, 56.8%, 68.1%, and 70.8%, respectively; all p < 0.0001). Multivariate analysis revealed that being male, having an ASA physical status >III, and each 5-year increase in age resulted in increased odds of receiving alternatives to general anesthesia (regional anesthesia adjusted odds ratios (AORs) 1.06, 1.12, and 1.26, MAC AORs 1.09, 1.2, and 1.1, respectively; all p < 0.0001). Treatment in the Midwest, South, or West was associated with decreased odds of receiving alternatives to general anesthesia compared to the Northeast (regional anesthesia AORs 0.28, 0.38, and 0.03, all p < 0.0001; MAC 0.76, 0.13, and 0.43, respectively; all p < 0.05). Conclusions: Use of regional anesthesia and MAC with local anesthesia for arteriovenous access creation has decreased over time with general anesthesia remaining the primary anesthetic type. Anesthetic choice, however, varies with patient characteristics and geography. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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