Effects of the Volume of Local Anesthetic Used in Stellate Ganglion Block on the Elevation of Skin Temperature of Ipsilateral Upper Extremity

Song, Sun Ok; Jo, Young Woo

doi:10.4097/kjae.1999.37.2.233

Cited by 4 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, 4 ml of 0.2% ropivacaine, instead of 6 ml, was more optimal for successful SGB, and 2 or 3 ml, which was expected to be optimal before the study, was not sufficient for routine SGB. Our data showed that 4 ml was an optimal volume for ultrasound-guided SGB, and this volume was lower than those previously reported volumes of the blind technique (5-8 ml) [1-5] and it was also a little lower than previously reported volumes for ultrasound-guided SGB (5 ml) [6,7]. By the way, 4 ml as an optimal volume for an ultrasound-guided SGB was larger than we expected before the study.…”

Section: Discussioncontrasting

confidence: 62%

“…Several studies have focused on the optimal amount of local anesthetics needed for a successful stellate ganglion block (SGB). However, the previous studies were conducted by performing SGBs under the blind technique [ 1 - 5 ]. Furthermore, the reported minimum or optimal requirements of local anesthetics were controversial in the previous studies; 5 ml of 1% mepivacaine [ 5 ], 8 ml of 0.2% ropivacaine [ 2 ], 8 ml of 0.5% lidocaine [ 3 ], or 6 ml of 1% lidocaine for head and neck disease and above 12 ml of 1% lidocaine for upper extremity disease [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The optimal volume of 0.2% ropivacaine required for an ultrasound-guided stellate ganglion block

Jung

Kim

Shin

et al. 2011

Korean J Anesthesiol

Self Cite

View full text Add to dashboard Cite

BackgroundThis study was performed to find the optimal volume of local anesthetics needed for a successful ultrasound-guided stellate ganglion block (SGB) to treat head and neck pathology.MethodsFifteen female and fourteen male sensory-neural hearing loss patients received 4 times SGBs with 0.2% ropivacaine in volumes of 6, 4, 3 and 2 ml at 1 to 3 day intervals. Using the transverse short-axis view of the neck that showed Chassaignac's tubercle at the C6 level, a 25-gauge, and 4 cm needle was inserted via the lateral paracarotid approach with out-of-plane targeting between the prevertebral fascia and the ventral surface of longus colli muscle (subfascial injection). A successful block was confirmed with the onset of ptosis (Horner's syndrome).ResultsThere were no significant statistical differences between the presence of Horner's syndrome and the volume of local anesthetics given. However, Horner's syndrome was present in all trials for the 4 ml and 6 ml groups. Six (20.7%) and three out (10.4%) of twenty-nine trials in the 2 ml and 3 ml groups, respectively, failed to elicit Horner's syndrome. The duration of action was significantly different in the 2 ml group compared to that of the 6 ml group, but there was no significant difference between the other groups, including the 4 ml vs. 6 ml groups. The side effects were not different between the groups.ConclusionsThis data suggests that the optimal volume of 0.2% ropivacaine for ultrasound-guided SGB to treat the head and neck pathology in daily practice is 4 ml.

show abstract

Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

The optimal volume of 0.2% ropivacaine required for an ultrasound-guided stellate ganglion block

Jung

Kim

Shin

et al. 2011

Korean J Anesthesiol

Self Cite

View full text Add to dashboard Cite

show abstract

“…Stellate ganglion block (SGB) is often facilitated to improve blood flow and reduce pain in the head, neck, and upper extremity because it entails blocking the cervicothoracic sympathetic ganglion, which is the inferior cervical sympathetic ganglion and the first thoracic sympathetic ganglion in fused form [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

The Change in Regional Cerebral Oxygen Saturation after Stellate Ganglion Block

et al. 2010

View full text Add to dashboard Cite

BackgroundStellate ganglion block (SGB) is known to increase blood flow to the innervations area of the stellate ganglion. Near infrared spectroscopy reflects an increased blood volume and allows continuous, non-invasive, and bedside monitoring of regional cerebral oxygen saturation (rSO2). We investigated the influence of SGB on bilateral cerebral oxygenation using a near infrared spectroscopy.MethodsSGB was performed on 30 patients with 1% lidocaine 10 ml using a paratracheal technique at the C6 level and confirmed by the presence of Horner's syndrome. The blood pressure (BP), heart rate (HR) and rSO2 were measured before SGB and 5, 10, 15 and 20 minutes after SGB. Tympanic temperature of each ear was measured prior to SGB and 20 minutes after SGB.ResultsThe increments of the rSO2 on the block side from the baseline were statistically significant at 5, 10, 15 and 20 minutes. The rSO2 on the non-block side compared with the baseline, however, decreased at 15 and 20 minutes. The difference between the block and the non-block sides was significant at 15 and 20 minutes. The BP at 10, 15 and 20 minutes was increased and the HR was increased at 10 and 15 minutes.ConclusionsWe observed an increment of the rSO2 on the block side from the baseline; however, the rSO2 on the non-block side decreased.

show abstract

“…Consequently, it results in failure of sympathetic block of upper extremity lesions because of technical failure during injection or inadequate spread of local anesthetics to the stellate ganglion [9]. Previously, we also attempted to determine an optimal volume for the blind landmark technique for SGB at C6 on appropriate sympathetic blockade of the ipsilateral upper extremity by measuring the elevation of skin temperature [6]. The authors reported that effective SGB at C6 on the upper extremity required larger volumes of local anesthetic (>12mL) and recommended lower doses for SGB at C7 or T1.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, our previous papers including Kim et al and Jung et al reported that a lateral paracarotid out-of-plane approach (Song’s technique) for real-time ultrasoundguided SGB using a standard high-frequency linear probe is a safe and suitable method [3,4]. However, the classical blind technique of SGB performed at C6 is less effective for sympathetic blockade of the upper extremity [5,6]. We speculated that a lateral paracarotid approach for ultrasound-guided SGB at the level of C6 may be also less effective in the upper extremity.…”

Section: Introductionmentioning

confidence: 99%

Comparison of ultrasound-guided stellate ganglion block at 6th and 7th cervical vertebrae using the lateral paracarotid out-of-plane approach for sympathetic blockade in the upper extremity

Baek¹,

Kim²,

et al. 2018

Yeungnam Univ J Med

Self Cite

View full text Add to dashboard Cite

BackgroundThe authors have performed ultrasound-guided stellate ganglion block (SGB) in our clinic using a lateral paracarotid approach at the level of the 6th cervical vertebra (C6). Although SGB at C6 is a convenient and safe method, there are ongoing concerns about the weak effect of sympathetic blockade in the ipsilateral upper extremity. Therefore, ultrasound-guided SGB was attempted using a lateral paracarotid approach at the level of the 7th cervical vertebra (C7). This prospective study aimed to compare changes in skin temperature after SGB was performed at C6 and C7, and to introduce a lateral paracarotid approach for SGB.MethodsThirty patients underwent SGB twice: once at C6 and once at C7. For every SGB, the skin temperature of the patient’s hypothenar area was measured for 15 min at 1-min intervals. Skin temperatures before and after SGB and side effects were compared between C6 and C7 groups.ResultsThe temperature of the upper extremity increased after SGB was performed at C6 and C7. There were significant differences between mean pre-SGB and the largest increases in post-SGB temperatures (0.50±0.38℃ and 1.41±0.68℃ at C6 and C7, respectively; p<0.05). Significantly increased post-SGB temperatures (difference >1℃) were found in 5/30 (16.7%) and 24/30 (80%) cases for C6 and C7, respectively (p<0.05). There were no significant differences in side effects between SGB performed at C6 or C7 (p>0.05).ConclusionThe lateral paracarotid approach using out-of-plane needle insertion for ultrasound-guided SGB performed at C7 was feasible and more effective at elevating skin temperature in the upper extremity than SGB at C6.

show abstract

Effects of the Volume of Local Anesthetic Used in Stellate Ganglion Block on the Elevation of Skin Temperature of Ipsilateral Upper Extremity

Cited by 4 publications

References 0 publications

The optimal volume of 0.2% ropivacaine required for an ultrasound-guided stellate ganglion block

The optimal volume of 0.2% ropivacaine required for an ultrasound-guided stellate ganglion block

The Change in Regional Cerebral Oxygen Saturation after Stellate Ganglion Block

Comparison of ultrasound-guided stellate ganglion block at 6th and 7th cervical vertebrae using the lateral paracarotid out-of-plane approach for sympathetic blockade in the upper extremity

Contact Info

Product

Resources

About