Vascular Surgery · Vascular
Arteriovenous Fistula Formation
Arteriovenous Fistula Formation
DATE AND TIME: [Date and time] URGENCY: Elective / Non-elective SURGEON: [Name] ASSISTANT: [Name / None] ANAESTHETIST: [Name] OPERATION: Arteriovenous Fistula (AVF) Formation — [Radiocephalic (Brescia-Cimino) / Brachiocephalic / Brachiobasilic — First/Second Stage] — [Right / Left] Arm ANAESTHETIC: Regional anaesthesia [brachial plexus block / wrist block] / General anaesthesia / Local infiltration ANTIBIOTICS: [Drug and dose / Not indicated] DVT PROPHYLAXIS: [Agent / mechanical / Not indicated] POSITION: Supine. Ipsilateral arm extended on arm board, supinated. INDICATION: End-stage renal failure requiring haemodialysis access. [Preoperative vascular mapping: USS / venography — [cephalic / basilic / brachial] vein diameter [measurement], [radial / brachial] artery diameter [measurement], suitable for [configuration]]. [Previous access sites / fistula failures noted]. INCISION: [Describe incision] PROCEDURE: