Effectiveness of Stellate Ganglion Block Under Fuoroscopy or Ultrasound Guidance in Upper Extremity CRPS

Imani, Farnad; Karim, Helmet T.; Rahimzadeh, Poupak; Kazemi, M.; Hejazian, Kokab

doi:10.7860/jcdr/2016/14476.7035

Cited by 35 publications

(34 citation statements)

References 15 publications

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“…Another invasive procedure, stellate ganglion block (SGB)—which has been used successfully for a variety of complex neurological disorders such as chronic regional pain syndrome and hot flashes—has also recently shown promising results for the relief of certain symptoms of PTSD, particularly among military populations. This procedure involves the injection of a local anesthetic, typically under ultrasound or fluoroscopic guidance, into a nerve bundle called the stellate ganglion located between the C6 and C7 vertebrae …”

Section: Introductionmentioning

confidence: 99%

Stellate Ganglion Block in the Treatment of Post‐traumatic Stress Disorder: A Review of Historical and Recent Literature

Summers

Nevin

2016

Pain Practice

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Concerns over the rising prevalence of post-traumatic stress disorder (PTSD), particularly among military service members returning from combat, and over barriers that hinder individuals from seeking out or adhering to standard therapies have contributed to interest in alternative therapies for the disorder. A novel alternative therapy for PTSD-stellate ganglion block (SGB)-may be considered lacking in formal evidence of efficacy despite having shown considerable promise. This review of the recent and historical literature related to SGB finds evidence of substantial beneficial psychiatric effects and substantiates that this fast-acting, somatic treatment may provide positive results for patients with PTSD and may reduce barriers to therapy, particularly among military populations.

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Section: Introductionmentioning

confidence: 99%

Stellate Ganglion Block in the Treatment of Post‐traumatic Stress Disorder: A Review of Historical and Recent Literature

Summers

Nevin

2016

Pain Practice

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“…It was also wonderful and low-risk technique to improve post-mastectomy acute pain management [9] [10]. Serratus anterior block ultrasound-guided can increase the safety and accelerate the procedure [11] [12]. They have an opioid-sparing effect, and give early mobilization and early come out from hospital.…”

Section: Introductionmentioning

confidence: 99%

“…. After proper skin sterilisation, By sonar guided with a linear probe(8)(9)(10)(11)(12)(13) and an ultrasound machine (M-Turbo, SonoSite Inc., USA), the probe was put in a parasagittal plane over the transverse process of thoracic 4 or thoracic 5 vertebrae, approximately 2.5 cm lateral to the spinous processe. Under all aseptic precautions and sonar guided, ESP block was managed at T4 or T5 on the same surgical side using a high-frequency linear ultrasound probe.…”

mentioning

confidence: 99%

By Ultrasonic-Guided Erector Spinae Block, Thoracic Paravertebral Block versus Serratus Anterior Plane Block by Articaine with Adrenaline during Breast Surgery with General Anesthesia: A Comparative Study of Analgesic Effect Post-Operatively: Double Blind Randomized, Controlled Trial

Eldemrdash¹,

Abdelzaam²

2019

OJAnes

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Background and Aims: Erector spinae plane block, Paravertebral block and serratus anterior block are three formats for analgesia post-operatively following radical mastectomy. This study compares the analgesic efficacy of these modalities for analgesia post-operatively by articaine 2% with adrenaline. Methods: Seventy-five patients with ASA physical status I or II subjected to modified radical mastectomy with axillary clearance were enrolled for the study. After induction of general anaesthesia all patients received 20 mL 2% articaine with adrenaline in each technique of the study. Patients in Group 1 (Erector spinae block [ESB], n = 25), Group 2 paravertebral block [PVB] n = 25), Group 3 (serratus anterior plane block [SAPB] n = 25) were ultrasound-guided on ipsilateral side. Patients were estimated for pain scores at 0, 2, 4, 6, 12 and 24 h, and duration of analgesia post-operatively and relieve analgesic doses required of morphine up to 24 h. Results: Visual analogue scale scores post-operatively were lower in ESB and PVB group compared with SAPB at 4, 6, 12 and 24 h (P < 0.05). The first analgesic dose requirement was significantly longer in ESB (416 ± 68 min) than PVB group (371 ± 67 min) in compared with SAPB (343.5 ± 54.7 min). Mean duration of analgesia was significantly longer in ESB and PVB group (P < 0.001) in compared with SAPB. Total morphine dose of relieving analgesic was significantly lesser in ESB (4 ± 2 mg) than PVB group (6 ± 2 mg) compared with SAPB

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“…Various pharmacologic agents have been used to diminish these vasopressor reactions such as opioids, magnesium, β-blockers, α2 agonists and local anesthetics [7][8][9][10][11]. A study showed that stellate ganglion block in patients with upper limb surgery following trauma reduces postoperative pain scores and morphine consumption [12,13]. There are some studies that showed the antihypertensive effects of stellate ganglion block via effects on endothelin-1 (ET-1) and endothelial nitric oxide synthase (endothelial NOS) in blood vessels [14,15].…”

Section: Introductionmentioning

confidence: 99%

Effects of ultrasound guided ganglion stellate blockade on intraoperative and postoperative hemodynamic responses in laparoscopic gynecologic surgery.

Rahimzadeh

Mahmoudi²,

Khodaverdi

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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Introduction: Laparoscopic gynecologic surgery is one of the most well-known procedures. Pneumoperitoneum with carbon dioxide insufflation can cause unfavorable hemodynamic effects due to catecholamine and vasopressin release. Aim: To examine the effects of stellate ganglion block on hemodynamic response and postoperative pain. Material and methods: In a prospective double blinded randomized parallel study we included 40 patients with ASA physical status I and II, aged between 18 and 50 years with a gynecologic problem candidate for laparoscopic surgery under general anesthesia. The patients were randomly divided into two groups. Fifteen minutes before anesthesia induction, the patients underwent ultrasound guided stellate ganglion block with 10 ml of lidocaine 1% and the control group underwent stellate ganglion block using 10 ml of distilled water as placebo. After induction of general anesthesia, systolic and diastolic blood pressure and heart rate were recorded, especially after blowing of CO 2 gas, the position change, depletion of CO 2 , and tracheal extubation in recovery. The postoperative pain was calculated using the visual analogue scale (VAS) at three times (0, 30, and 24 h after surgery). Results: Our results showed that mean systolic and diastolic blood pressure and heart rate did not show any significant difference at the measurement times (p > 0.05), and mean VAS of patients in the two groups was significantly different for the three measurement times except 24 h after surgery (p < 0.05). Conclusions: Stellate ganglion block before laparoscopic gynecologic surgery has no significant effect on intraoperative and postoperative hemodynamic responses; however, it can decrease VAS in the early postoperative period.

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Effectiveness of Stellate Ganglion Block Under Fuoroscopy or Ultrasound Guidance in Upper Extremity CRPS

Cited by 35 publications

References 15 publications

Stellate Ganglion Block in the Treatment of Post‐traumatic Stress Disorder: A Review of Historical and Recent Literature

Stellate Ganglion Block in the Treatment of Post‐traumatic Stress Disorder: A Review of Historical and Recent Literature

By Ultrasonic-Guided Erector Spinae Block, Thoracic Paravertebral Block versus Serratus Anterior Plane Block by Articaine with Adrenaline during Breast Surgery with General Anesthesia: A Comparative Study of Analgesic Effect Post-Operatively: Double Blind Randomized, Controlled Trial

Effects of ultrasound guided ganglion stellate blockade on intraoperative and postoperative hemodynamic responses in laparoscopic gynecologic surgery.

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