Locked-in syndrome during stellate ganglion block

Chaturvedi, Apoorv; Dash, H. H.

doi:10.4103/0019-5049.68376

Cited by 24 publications

(14 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Chaturvedi and Dash39 described a case of transient locked-in syndrome during an SGNB in a 25-year-old male patient undergoing a right-sided SGNB without image guidance for brachial plexus injury. After the needle was positioned using the landmark-based approach, and the aspiration test was negative, the patient received a total of 2 mL 1% lidocaine when blood was noted in the injecting syringe.…”

Section: Resultsmentioning

confidence: 99%

Complications associated with stellate ganglion nerve block: a systematic review

Goel

Patwardhan

Ibrahim

et al. 2019

Reg Anesth Pain Med

View full text Add to dashboard Cite

Stellate ganglion nerve blockade (SGNB) is a vital tool in our armamentarium for the treatment of various chronic pain syndromes. SGNB can be performed using the traditional landmark-based approach, or with image guidance using either fluoroscopy or ultrasound. In this review, we systematically analyzed reported SGNB-related complications between 1990 and 2018. Seven databases were queried for SGNB between January 1, 1990 and November 27, 2018. Search results of the complications associated with SGNB were reported as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations. Out of a total of 1909 articles, 67 articles met our inclusion criteria, yielding 260 cases with adverse events. In 134 of the 260 (51.5%) cases, SGNB was performed with image guidance. Sixty-four (24.6%) and 70 (26.9%) of the complication cases reported the use of ultrasound and fluoroscopy guidance, respectively. One hundred and seventy-eight (68.4%) patients had medication-related or systemic side effects, and 82 (31.5%) had procedure-related or local side effects. There was one report of death due to massive hematoma leading to airway obstruction. There was one case report of quadriplegia secondary to pyogenic cervical epidural abscess and discitis following an SGNB. Complications following SGNB have been reported with both landmark-based techniques and with imaging guidance using fluoroscopy or ultrasound. In our systematic review, most adverse events that were reported occurred during or shortly after SGNB. Vigilance, American Society of Anesthesiologists standard monitors for conscious sedation, and accessibility to resuscitation equipment are vital to the safe performance of SGNB.

show abstract

Section: Resultsmentioning

confidence: 99%

Complications associated with stellate ganglion nerve block: a systematic review

Goel

Patwardhan

Ibrahim

et al. 2019

Reg Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…19,25,29,32,33,35,51,53,55 Fifteen (22%) practitioners adopted ENS, 12,16,22,24,29,31,41,44 whereas intermittent aspiration before injection was reported in 22 cases of LA administration for peripheral nerve block. 8,11,15,16,18,19,22,24,25,27,[31][32][33]36,38,41,43,46,58 Finally, only 1 author reported on the concomitant use of ultrasound, ENS, and intermittent aspiration 29 in a patient who developed toxicity 10 minutes after LA injection.…”

Section: Nerve Localization and Safety Measuresmentioning

confidence: 99%

A Review of Local Anesthetic Systemic Toxicity Cases Since Publication of the American Society of Regional Anesthesia Recommendations

Vasques

Behr

Weinberg

et al. 2015

Regional Anesthesia and Pain Medicine

View full text Add to dashboard Cite

Local anesthetic systemic toxicity (LAST) occurrence may cross several medical specialties. In 2010, the American Society of Regional Anesthesia and Pain Medicine (ASRA) published the first algorithm on LAST management, introducing the use of lipid emulsion (ILE) treatment. In the present study, we retrieved the cases of LAST published between ASRA guidelines dissemination and March 2014. We analyzed the reported clinical manifestations of LAST, characteristics of affected patients, onset time of toxicity, and clinical setting. We also focused on the treatment measures that were applied in the different cases, especially on the use of ILE and adherence to ASRA recommendations. Despite the limits of a review of case reports, the present study calls attention to the insidious nature of LAST, especially its atypical manifestations, and shows that ILE may currently be underadministered in daily clinical practice, especially in nonanesthesiology practice.

show abstract

“…[6] Vertebral artere lokal anestezik enjeksiyonu konvülsiyon ve apne dışında bazen de, geçici göz fiksasyonu, hareket edememe ve bilinç kapanmaksızın respiratuvar distresle karakterize kilitlenme sendromu (locked-in) gibi komplikasyonlara da neden olabilir. [7,8] Bizim olgumuzda epileptik nöbetin görülmemesi intravasküler enjeksiyonu düşündürmemiştir.…”

Section: Discussionunclassified

Complication belong to Stellate ganglion blockade after cervical trauma

Sarı¹,

Aydın²

2014

Agri

View full text Add to dashboard Cite

Summary Stellate ganglion block (SGB) is one of the most often used sympathetic blockade procedure. Despite performed by experienced physicians some complications may occur. The right brachial plexus injury was diagnosed in the patient ÖzetStellat ganglion bloğu çok sık kullanılan sempatik blok yöntemlerinden biridir. Deneyimli kişiler tarafından yapılmasına rağ-men komplikasyonlar gelişebilmektedir. Araç içi trafik kazası sonrası sağ kolda güçsüzlük, ağrı şikayeti ile ortopedi kliniğine başvuran hastaya sağ brakial pleksus hasarı teşhisi koyulmuştu. Kırk dört yaşındaki kadın hastanın medikal tedaviye yanıtı yoktu ve sağ kolunda dirsek ekleminin distalinde, radial ve median sinir trasesine uyan alanda duyu kaybı mevcuttu. Hastanın EMG' sinde C6-T1 kök avülzyonu, MR' sinde sağ alt brakiyel pleksus düzeyinde kök avülzyonu saptandı. Hasta CRPS (Kompleks bölgesel ağrı sendromu) 1. evre olarak değerlendirildi. Medikal tedavisi düzenlendi ve stellat ganglion blokajı yapıldı. Enjeksiyondan dört-beş dakika sonra solunum arresti geliştiği gözlendi. İki saat boyunca mekanik ventilatöre bağlandı ve 24 saat sonra hastanın vital fonksiyonlarının normal olması üzerine taburcu edildi. Bir yıl sonra hasta aynı bölgede şiddetli ağrı şikayeti ile yeniden ağrı polikliniğine başvurdu. Stellat ganglion RF yapılması planlandı. C kollu skopi altında RF kanül-lerinin birincisi yerleştirildi. İkinci kanül yerleştirilirken BOS geldiği görüldü ve kanül çekildi. Başka bölgeden üçüncü kanül yerleştirildi ve iki kanülden konvansiyonel RF işlemi uygulandı. Anatomik yapı defekti olabileceği düşünülerek, servikal MR myelografi planlandı. Servikal MR myelografi bulgusunda, C5-T1 brakial pleksus düzeyinde travmatik psödomeningosel görüldü. Bu sebeple bir yıl önceki stellat ganglion blokajı sırasında intraspinal blok yapıldığı düşünüldü. Travma sonrası tedavi nedeniyle yapılan stellat ganglion blokajının ultrason veya floroskopi ile yapılması gerektiğini düşünmekteyiz.

show abstract

Locked-in syndrome during stellate ganglion block

Cited by 24 publications

References 9 publications

Complications associated with stellate ganglion nerve block: a systematic review

Complications associated with stellate ganglion nerve block: a systematic review

A Review of Local Anesthetic Systemic Toxicity Cases Since Publication of the American Society of Regional Anesthesia Recommendations

Complication belong to Stellate ganglion blockade after cervical trauma

Contact Info

Product

Resources

About