Effects of stellate ganglion block on cardiovascular reaction and heart rate variability in elderly patients during anesthesia induction and endotracheal intubation

Yongquan, Chen; Jin, Xiaoju; Liu, Zhao-Fang; Zhu, Meifang

doi:10.1016/j.jclinane.2014.06.012

Cited by 24 publications

(18 citation statements)

References 27 publications

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“…A confounding factor that can affect HRV and might contribute to the observed transient TP changes shortly after onabotulinumtoxinA injections is the use of the lidocaine based local anesthesia prior to the injections. However, lidocaine causes very different and quite opposite changes of HRV than isolated TP increase (Chen, et al, 2015, Shafqat, et al, 2009, making an effect of lidocaine in this context unlikely.…”

Section: Discussionmentioning

confidence: 96%

Effects of onabotulinumtoxinA on cardiac function following intradetrusor injections

Mehnert

Kort

Wöllner

et al. 2016

Experimental Neurology

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single treatment investigation under resting conditions only. In conclusion, onabotulinumtoxinA intradetrusor injections do not seem to affect resting state cardiac function. Short-term changes such as total power might rather result from natural cardio-vascular responses to the procedure itself (e.g. discomfort, stress). Further detailed investigations also under physical stress and repeated injections are necessary to fully exclude systemic cardiac side effects of onabotulinumtoxinA intradetrusor injections.

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Section: Discussionmentioning

confidence: 96%

Effects of onabotulinumtoxinA on cardiac function following intradetrusor injections

Mehnert

Kort

Wöllner

et al. 2016

Experimental Neurology

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“…A number of studies proved that stellate ganglion is involved in adjusting vegetative nerves, inhibiting nervous excitation, relax mental stress, adjusting the relaxation balance of automatic nervous system, increasing cerebral blood flow and improving sleep (8,9). …”

Section: Discussionmentioning

confidence: 99%

Ultrasound guided injections of botulinum toxin type A into stellate ganglion to treat insomnia

Ding

Wang

et al. 2017

Experimental and Therapeutic Medicine

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The aim of the study was to investigate the curative effect of botulinum toxin type A (BTX-A) injection into stellate ganglion under ultrasound guidance in patients suffering from insomnia. From October 2015 to April 2016, 48 patients suffering from insomnia were enrolled in this study. Patients were divided into 2 groups using a random digital grouping method: i) Control group (24 cases), and ii) treatment group (24 cases). Patients in the control group received 1 mg oral estazolam 30 min before sleep every night, while patients in the treatment group received BTX-A injection in bilateral stellate ganglions under ultrasound guidance. Curative effect evaluation was carried out after treatment. The international Pittsburgh Sleep Quality Index (PSQI) and polysomnogram (PSG) were evaluated in the two groups before and after treatment. The total effective rate was obviously higher in the treatment group. The PSQI score and the results of the PSG indicated that the insomnia situation improved in both groups. However, compared with the control group, the treatment group had a more significant improvement. In conclusion, BTX-A injection in stellate ganglion was a relatively easy and effective way to treat insomnia without any notable adverse reactions.

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“…These adverse effects may increase during anesthesia and surgery. Thus, it is important to maintain hemodynamic stability, particularly during induction and intubation …”

Section: Introductionmentioning

confidence: 99%

“…Thus, it is important to maintain hemodynamic stability, particularly during induction and intubation. 5 The QT interval can describe as the time between the beginning of the Q wave and the end of the T wave in the ECG. The prolonga- Patients who had a limited mouth opening, a Mallampati score of four, a difficult airway scenario, hypertension, cardiac disease, and who were known to have a long QT interval (>440 ms), and/or had used drugs known to prolong the QT interval (tricyclic antidepressants, etc.…”

mentioning

confidence: 99%

Comparison of hemodynamic responses and QTc intervals to tracheal intubation with the McGRATH MAC videolaryngoscope and the Macintosh direct laryngoscope in elderly patients

Çolak¹,

Özgül

Erdoğan

et al. 2019

The Kaohsiung J of Med Scie

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Our hypothesis was that intubations with the McGRATH MAC videolaryngoscope in elderly patients would produce less hemodynamic responses and ECG changes than the Macintosh direct laryngoscope. The patients were divided into two groups: patients who were intubated using the McGRATH MAC (Group V, n = 45) and patients who were intubated using the Macintosh direct laryngoscope (Group L, n = 45). Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP), heart rate (HR) were recorded before induction with anesthesia (baseline), immediately after induction and at 1 min, 3 min, and 5 min after intubation, with simultaneous ECG. When Group L was compared to Group V, there was an increase in the first, third and fitth minutes after intubation in terms of HR. SBP, MAP increased only at 1 min after intubation and DBP increased in the first and third minutes after intubation in Group L. In Group L, there was a significant difference in the HR values immediately after induction and the first minute after intubation compared with the baseline values. There was a difference in the SBP values immediately after induction and at 3 min and 5 min after intubation compared with the baseline values. There was a difference in DBP and MAP values immediately after induction and at 5 min after intubation. When the McGRATH MAC videolaryngoscope was compared with the Macintosh direct laryngoscope in elderly patients, the McGRATH MAC videolaryngoscope decreased the hemodynamic fluctuations due to tracheal intubation.

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Effects of stellate ganglion block on cardiovascular reaction and heart rate variability in elderly patients during anesthesia induction and endotracheal intubation

Cited by 24 publications

References 27 publications

Effects of onabotulinumtoxinA on cardiac function following intradetrusor injections

Effects of onabotulinumtoxinA on cardiac function following intradetrusor injections

Ultrasound guided injections of botulinum toxin type A into stellate ganglion to treat insomnia

Comparison of hemodynamic responses and QTc intervals to tracheal intubation with the McGRATH MAC videolaryngoscope and the Macintosh direct laryngoscope in elderly patients

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