@study_access

Anaesthesia Choice for Creation of artEriovenouS fiStulae- an NIHR-funded RCT comparing local vs regional anaesthesia in AVF outcomes (HTA 130567)

 Glasgow
Joined September 2020
  • Tweets173
  • Following188
  • Followers249
46Media
Great to have so many ACCess study collaborators involved in this important work @ajrmacfarlane @rjharrison79 @elboghdadly @rosie_hogg
Alan Macfarlane@ajrmacfarlaneOct 6
A short @RCoANews @RCoA_CRI #NAP8 update after 2yrs work so far 😃 Baseline surveys: Individual - almost 11000 fully complete responses. Interesting data emerging 👍 Departmental - 98% completion rate. Next on list to be analysed 😉 1/n (don’t have many characters to use 😢!)
1
62
ACCESS study retweeted
Alan Macfarlane@ajrmacfarlaneOct 6
A short @RCoANews @RCoA_CRI #NAP8 update after 2yrs work so far 😃 Baseline surveys: Individual - almost 11000 fully complete responses. Interesting data emerging 👍 Departmental - 98% completion rate. Next on list to be analysed 😉 1/n (don’t have many characters to use 😢!)
2
10
2
20
1,803
Lovely few days in Liverpool @VASBImedia #vasbi2026
1
1
37
@emmaaitken_emma
21
Our health economic analysis paper published in Health Economics Review today. Brachial plexus block for AVF creation is cost effective over a 1-year time horizon compared to LA. Benefit not sustained to 5 years due to dialysis costs @NIHRresearch @GlasgowCRF
4
4
321
An Update on Plan A Blocks in Regional Anesthesia: edmariano.com/archives/2614 @LloydTurbitt @elboghdadly @Anaes_Journal @Assoc_Anaes @CSAHQ @ESRA_Society @ASRA_Society @ESRA_trainees

An Update on Plan A Blocks in Regional Anesthesia

First published online in 2019, our editorial in Anaesthesia challenged the world of regional anesthesia by asserting the concept of ‘a few blocks for the many’ in opposition to ‘many blocks for the...

edmariano.com
13
32
1,489
Lively discussion at our final TSC/IDMC. Unbelievably grateful for everyone’s support, help, ideas and time. We couldn’t have done it without you @davidwhewson @Rab_thomas @sr_knight1 @ajrmacfarlane @UofGSHW @GlasgowCRF
2
2
329
Effective lidocaine volume for a double-injection costoclavicular brachial plexus block. Registered at #ISRCTN by @JulianAliste isrctn.com/ISRCTN16060312 #clinicaltrials
The costoclavicular block is a regional anesthesia technique for the upper extremity. The block has proven to be effective and safe to offer anesthesia and analgesia for upper extremity surgery. Recently it was demonstrated that depositing the local anesthetic in two locations is more efficient than in just one for this technique. However, the volume of local anesthetic needed when using two injections is unknown and might be different and perhaps lower than with single injections. The aim of this study is to determine the ideal volume to use in this double injection technique. This is important because knowing the effective volume it is possible to prevent unnecessary high and possibly toxic doses of local anesthetics.

ALT The costoclavicular block is a regional anesthesia technique for the upper extremity. The block has proven to be effective and safe to offer anesthesia and analgesia for upper extremity surgery. Recently it was demonstrated that depositing the local anesthetic in two locations is more efficient than in just one for this technique. However, the volume of local anesthetic needed when using two injections is unknown and might be different and perhaps lower than with single injections. The aim of this study is to determine the ideal volume to use in this double injection technique. This is important because knowing the effective volume it is possible to prevent unnecessary high and possibly toxic doses of local anesthetics.

2
1
99
It's nearly time for #WorldKidneyDay 2026! 💛 Keep your eyes peeled for our posts and find out how you can get involved. #KidneysMatter
1
80
Our new editorial on peri-operative nerve injury in @Anaes_Journal is published and free to read! Great international collaboration with @yintubate @ajrmacfarlane @kellyefostermd associationofanaesthetists-p…
2
17
42
4,906
#WorldKidneyDay 2026 is 12 March & Don’t Kid Yourself is back – the joint campaign to bust myths about kidney disease & show why kidneys matter We need your help to challenge misconceptions & spark conversations. Watch our socials to see how to get involved #KidneysMatter
2
2
432
1
257
NewUK vascular access guideline eagerly awaiting results of the study……coming very soon!
1
2
5
681
#regionalanesthesia Are you still mixing LA for upper extremity 💉? Not once ….think twice or thrice before mixing of LA ! No benefits with cocktails 🍹 of LA !! ⚠️ ⛔️ 🛑 50 day 🆓 access to our systematic review ! 🔥👉 sciencedirect.com/science/ar… @rakesh6282 @adeebos @Ropivacaine
6
26
51
2,654
Brilliant talk by @ajrmacfarlane on anaesthesia for fistula surgery at #ESRA2025 @ESRA_Society. Evidence to date favours BPB - watch this space for @study_access @emmaaitken_emma results coming soon!
1
6
21
1,378
Our recruitment and qualitative paper telling the story of the trial was published today in Trials ⁦@NIHRresearch⁩ ⁦@SpringerNature⁩ trialsjournal.biomedcentral.…

A randomised controlled trial comparing the outcomes of arteriovenous fistula for dialysis created...

Trials - Despite the crucial role that randomised controlled trials (RCTs) play in establishing the efficacy of new treatments, many are terminated early due to difficulty with subject recruitment....

link.springer.com
2
352
NAP8 lead @ajrmacfarlane at #Anaesthesia2025 We are recruiting Local Coordinators at each hospital in the UK and Ireland. Visit rcoa.ac.uk/nap8-local-coordi…… for information on the role and to register your interest! @RCoANews @RegionalAnaesUK
11
17
1,940
Out today!!! The world’s largest study on unspecified (non-directed altruistic) kidney donation. Donors are not more likely to withdraw and have comparable outcomes. Read all about it here 👇🏼 sciencedirect.com/science/ar… @NIHRresearch @JoeChilcot @Giveakidney @amjtransplant @GSTTnhs
3
14
36
2,238
Data lock complete. Looking forward to seeing results very soon
11
235
Still working towards data lock at end of September. Thanks to all sites for their help addressing remaining queries
1
121
Load more