{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:38:11Z","timestamp":1783075091095,"version":"3.54.6"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The effectiveness of stellate ganglion block in managing acute postoperative pain remains uncertain due to limited high\u2010quality evidence. This study evaluates the impact of stellate ganglion block on acute pain following arteriovenous fistula surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled clinical trial was conducted in the Surgery Department of Bahonar and Shafa Hospitals at Kerman University of Medical Sciences, Iran. Patients undergoing arteriovenous fistula surgery were randomly assigned to either the intervention group, which received an ultrasound\u2010guided stellate ganglion block with 5\u2009mL of 5% lidocaine, or the control group, which received no intervention. A total of 60 patients were selected based on age and gender similarity. Pain levels were assessed using the visual analog scale immediately after surgery and at 6 and 12\u2009h postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Pain scores differed significantly between the two groups at all time points (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.05). The intervention group reported lower pain levels at 6 and 12\u2009h postoperatively compared to the control group. Repeated measures analysis confirmed a significant reduction in pain over time in both groups (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.05), with a more pronounced decrease in the intervention group (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative stellate ganglion block effectively reduces acute postoperative pain following arteriovenous fistula surgery. However, its effects beyond the 12\u2010h postoperative period remain unknown. Further research is needed to evaluate its long\u2010term impact.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hdi.13220","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:37:52Z","timestamp":1743122272000},"page":"303-309","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Enhancing Postoperative Pain Management: Assessing the Influence of Ultrasound\u2010Guided Stellate Ganglion Block on Arteriovenous Fistula Surgery"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1946-8175","authenticated-orcid":false,"given":"Morteza","family":"Hashemian","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Kerman University of Medical Sciences  Kerman Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azadeh","family":"Bahaadini","sequence":"additional","affiliation":[{"name":"Department of 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