Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil

<h4>Study objective</h4> The main objective of this study is to test the feasibility of the local anesthetic (LA) Mepivacaine 1% and sedation with Remifentanil as the primary anesthetic technique for the insertion of a peritoneal dialysis (PD) catheter, without the need to convert to gen...

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Autores principales:	Elizabeth Jabbour, Carsten Fütterer, Sebastian Zach, Anna-Isabelle Kälsch, Michael Keese, Nuh N. Rahbari, Bernhard K. Krämer, Kay G. Schwenke
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f9291556e7ac4b90aef2a1af57896749
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spelling	oai:doaj.org-article:f9291556e7ac4b90aef2a1af578967492021-11-11T07:14:41ZImplantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil1932-6203https://doaj.org/article/f9291556e7ac4b90aef2a1af578967492021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568152/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Study objective</h4> The main objective of this study is to test the feasibility of the local anesthetic (LA) Mepivacaine 1% and sedation with Remifentanil as the primary anesthetic technique for the insertion of a peritoneal dialysis (PD) catheter, without the need to convert to general anesthesia. <h4>Methods</h4> We analyzed 27 consecutive end-stage renal disease (ESRD) patients who underwent the placement of a peritoneal catheter at our center between March 2015 and January 2019. The procedures were all performed by a general or vascular surgeon, and the postoperative care and follow-up were all conducted by the same peritoneal dialysis team. <h4>Results</h4> All of the 27 subjects successfully underwent the procedure without the need of conversion to general anesthesia. The catheter was deemed prone to usage in all patients and was found to be leak-proof in 100% of the patients. <h4>Conclusion</h4> This study describes a safe and successful approach for insertion of a PD catheter by combined infiltration of the local anesthetic Mepivacaine 1% and sedation with Remifentanil. Hereby, ESRD patients can be treated without general anesthesia, while ensuring functionality of the PD catheter.Elizabeth JabbourCarsten FüttererSebastian ZachAnna-Isabelle KälschMichael KeeseNuh N. RahbariBernhard K. KrämerKay G. SchwenkePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Elizabeth Jabbour Carsten Fütterer Sebastian Zach Anna-Isabelle Kälsch Michael Keese Nuh N. Rahbari Bernhard K. Krämer Kay G. Schwenke Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil
description	<h4>Study objective</h4> The main objective of this study is to test the feasibility of the local anesthetic (LA) Mepivacaine 1% and sedation with Remifentanil as the primary anesthetic technique for the insertion of a peritoneal dialysis (PD) catheter, without the need to convert to general anesthesia. <h4>Methods</h4> We analyzed 27 consecutive end-stage renal disease (ESRD) patients who underwent the placement of a peritoneal catheter at our center between March 2015 and January 2019. The procedures were all performed by a general or vascular surgeon, and the postoperative care and follow-up were all conducted by the same peritoneal dialysis team. <h4>Results</h4> All of the 27 subjects successfully underwent the procedure without the need of conversion to general anesthesia. The catheter was deemed prone to usage in all patients and was found to be leak-proof in 100% of the patients. <h4>Conclusion</h4> This study describes a safe and successful approach for insertion of a PD catheter by combined infiltration of the local anesthetic Mepivacaine 1% and sedation with Remifentanil. Hereby, ESRD patients can be treated without general anesthesia, while ensuring functionality of the PD catheter.
format	article
author	Elizabeth Jabbour Carsten Fütterer Sebastian Zach Anna-Isabelle Kälsch Michael Keese Nuh N. Rahbari Bernhard K. Krämer Kay G. Schwenke
author_facet	Elizabeth Jabbour Carsten Fütterer Sebastian Zach Anna-Isabelle Kälsch Michael Keese Nuh N. Rahbari Bernhard K. Krämer Kay G. Schwenke
author_sort	Elizabeth Jabbour
title	Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil
title_short	Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil
title_full	Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil
title_fullStr	Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil
title_full_unstemmed	Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil
title_sort	implantation of a peritoneal dialysis catheter in patients with esrd using local anesthesia and remifentanil
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f9291556e7ac4b90aef2a1af57896749
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Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil

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