Introduction: Hemodialysis through creation of arteriovenous fistula (AVF) is an established surgical procedure for patients with End Stage Renal Disease (ESRD). Anesthetic methods management for this surgery should deal with different risk factors such as hypertension, ischemic heart disease and diabetes. Intravenous Regional Anesthesia (IVRA) or Bier block anesthesia as an option for AVF...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

Intravenous Regional Anaesthesia (IVRA) has been first described in 1908 by the german surgeon August KG Bier. Although the technique was easy to perform and effective in giving surgical anaesthesia, the newer plexus block techniques largely replaced in a short time the "Bier block", because of time limitations of IVRA and safety considerations. Throughout the years modifications in procedure a...

Bier spots represent a benign vascular mottling characterized by multiple irregular white macules along the extensor surfaces of the arms and legs. They have been reported in a variety of diverse conditions with no consistent disease association. We have identified a novel association between these physiologic anemic macules and lower extremity lymphedema. Eleven patients between 23 and 70 year...