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Media type:
E-Article
Title:
Implantation of a peritoneal dialysis catheter in patients with ESRD using local anesthesia and Remifentanil
Contributor:
Jabbour, Elizabeth;
Fütterer, Carsten;
Zach, Sebastian;
Kälsch, Anna-Isabelle;
Keese, Michael;
Rahbari, Nuh N.;
Krämer, Bernhard K.;
Schwenke, Kay G.
Published:
Public Library of Science (PLoS), 2021
Published in:
PLOS ONE, 16 (2021) 11, Seite e0259351
Language:
English
DOI:
10.1371/journal.pone.0259351
ISSN:
1932-6203
Origination:
Footnote:
Description:
Study objectiveThe 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.MethodsWe 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.ResultsAll 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.ConclusionThis 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.