Effect of ultrasound-guided right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy: a randomized controlled trial

Ouyang, Ru; Li, Xinrui; Wu, Rui; Zhou, Qiong; Sun, Yali; Lei, Enjun

doi:10.1016/j.bjane.2020.04.024

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…The stellate ganglion block refers to the injection of local anesthetic into the stellate ganglion and the loose connective tissue around it to inhibit the excitement of nerve cells by blocking the flow of sodium ions into the cell membrane. Reducing impulse transmission can achieve the purpose of reversibly blocking the stellate ganglion and its branches [ 33 ]. In recent years, ultrasound technology has become more and more mature and it has been widely used in all kinds of nerve block anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, sympathetic excitation can inhibit parasympathetic excitability. Surgical stimulation increased sympathetic excitability, aggravated perioperative inflammatory reaction, and delayed the recovery time of postoperative gastrointestinal function [31]. erefore, choosing appropriate anesthesia, maintaining appropriate intraoperative management measures, and taking appropriate intervention measures to prevent excessive excitation of the sympathetic nervous system are very important for patients to quickly recover gastrointestinal function for anesthesiologists.…”

Section: Discussionmentioning

confidence: 99%

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Effects of the Ultrasound-Guided Stellate Ganglion Block on Hemodynamics, Stress Response, and Gastrointestinal Function in Postoperative Patients with Colorectal Cancer

Xie

Zhang

et al. 2022

Computational Intelligence and Neuroscience

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Objective. The aim of the study was to study the effects of the ultrasound-guided stellate ganglion block on hemodynamics, stressful response, and postoperative gastrointestinal functions in patients with colorectal cancer. Methods. A total of 100 patients with colorectal cancer hospitalized from January 2021 to December 2021 were selected. After anesthesia induction, the right stellate ganglion block was performed under ultrasound guidance in the research group and the general anesthesia was performed in the control group. The heart rate (HR), mean arterial pressure (MAP), epinephrine, cortisol, self-rating anxiety scale (SAS), Ramsay sedation score (RSS), postoperative bowel sound recovery time, anal exhaust time, and the incidence of gastrointestinal adverse reactions 24 hours after operation were studied pre-and post-24-hour anesthesia induction. Results. Following 24-hour operation, the HR and MAP values were largely reduced p < 0.05 . Following 24-hour operation, epinephrine and cortisol became obviously higher p < 0.05 . After 24-hour operation, the levels of epinephrine and cortisol in the research group were greatly lower. The score of the SAS in the study cohort was less than that of the controls p < 0.05 . The RSS of the research group was obviously increased p < 0.05 . The recovery time of intestinal sound and the anal exhaust time of the study cohort became remarkably shorter p < 0.05 . The incidence of gastrointestinal adverse reactions 24 hours after operation of the study cohort was much less common p < 0.05 . Conclusion. The ultrasound-guided stellate ganglion block can reduce the fluctuation of blood circulation during radical resection of colorectal cancer, reduce postoperative gastrointestinal dysfunction and stress reaction, relieve patients’ anxiety, and contribute to the recovery of gastrointestinal function.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of the Ultrasound-Guided Stellate Ganglion Block on Hemodynamics, Stress Response, and Gastrointestinal Function in Postoperative Patients with Colorectal Cancer

Xie

Zhang

et al. 2022

Computational Intelligence and Neuroscience

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“…Multiple studies[ 33 - 37 ] have revealed that SGB is associated with the dramatic decrease in VA burden, and these studies strongly recommend the use of SGB in refractory VA, offering potential promise for its wider use in high-risk populations. A randomized controlled trial observed the effect of SGB treatment to perioperative atrial fibrillation in patients undergoing lobectomy before surgery, and the results revealed that right SGB before surgery can significantly reduce the incidence of intraoperative and postoperative atrial fibrillation[ 38 ]. Furthermore, in a case where a patient with myocardial infarction failed to recover the autonomic rhythm after cardiopulmonary resuscitation in a hospital, the autonomic rhythm was recovered, and sufficient neural activity and hemodynamic recovery were observed after using SGB[ 39 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of stellate ganglion block in diseases: Its role and application prospect

Deng¹,

Zhang²,

Liu³

et al. 2023

World J Clin Cases

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The stellate ganglion (SG), as a type of sympathetic ganglion, consists of the sixth and seventh cervical vertebrae and the first thoracic sympathetic ganglia. SG block (SGB) is a minimally invasive injection that aims to inject low-concentration local anesthetics to induce a broad sympathetic blocking effect near the SG. There have been no changes and progress in the clinical application of SGB since the 1830s due to several potential risks, including hematoma from blood vessel injury, hoarseness from recurrent laryngeal nerve injury, and cardiopulmonary arrest. The feasibility and safety of SGB have greatly improved since the appearance of ultrasound-guided SGB. In recent years, SGB has been widely applied in the field of non-anesthesiology sedation, with significant therapeutic effects on pain, immunological diseases, somnipathy, psychological disorders, arrhythmias, and endocrine diseases. The present study reviews the present application of SGB in clinical practice.

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The efficacy of ultrasound-guided stellate ganglion block in alleviating postoperative pain and ventricular arrhythmias and its application prospects

et al. 2021

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Effect of ultrasound-guided right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy: a randomized controlled trial

Cited by 6 publications

References 23 publications

Effects of the Ultrasound-Guided Stellate Ganglion Block on Hemodynamics, Stress Response, and Gastrointestinal Function in Postoperative Patients with Colorectal Cancer

Effects of the Ultrasound-Guided Stellate Ganglion Block on Hemodynamics, Stress Response, and Gastrointestinal Function in Postoperative Patients with Colorectal Cancer

Treatment of stellate ganglion block in diseases: Its role and application prospect

The efficacy of ultrasound-guided stellate ganglion block in alleviating postoperative pain and ventricular arrhythmias and its application prospects

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