Comparison of local, regional and general anaesthesia on surgical outcomes in arteriovenous fistula creation.

Khumo Karas, Benjamin Abrahams, Marya Khan, Vassilios Papalois

Abstract readReview

In one paragraph

Review in The journal of vascular access, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Khumo KarasImperial College London, South Kensington, London, UK.ORCID 0009-0002-8887-779X

Benjamin AbrahamsImperial College London, South Kensington, London, UK.ORCID 0009-0009-8692-3220

Marya KhanImperial College London, South Kensington, London, UK.ORCID 0009-0004-5489-2881

Vassilios PapaloisDepartment of Vascular Access and Renal Transplantation, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dialysis is essential for patients with end-stage renal disease and arteriovenous fistula (AVF) surgery creates access for high flow dialysis. This review examines the effects of local, regional and general anaesthesia on AVF outcomes, drawing on studies from 2014 to 2024. Regional anaesthesia is associated with improved primary patency and is often the preferred choice. While some studies suggest regional or local anaesthesia may improve maturation compared to general anaesthesia, findings are inconsistent. Despite higher upfront costs, regional anaesthesia may lead to better cost-effectiveness. All three modalities are considered safe and effective, though current evidence tends to favour regional anaesthesia. Further research is needed to clarify optimal anaesthetic strategies.

Indexed as

Arteriovenous fistulageneral anaesthesialocal anaesthesiaregional anaesthesiasurgical outcomes

Identifiers

PMID42610515

DOI10.1177/11297298261470926

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.