Stellate ganglion block

Marples, Ivan; Atkinson, Richard E

doi:10.1191/0968130201pr170ra

Cited by 20 publications

(9 citation statements)

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“…Numerous case reports of complications after SGB have been collected, 44 but few studies present comparable complication rates 3,5,12,15 . Shibata et al reported 2 events (7.7%) of paresthesia in segment C6 in 26 us‐SGBs 45 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness, Safety, and Predictive Potential in Ultrasound‐Guided Stellate Ganglion Blockades for the Treatment of Sympathetically Maintained Pain

et al. 2020

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Background: Evaluating the effectiveness of stellate ganglion blockades (SGBs) proves challenging, since the criteria defining a successful blockade are controversial. This may be one reason for the scarcity of studies on this topic, thus forcing clinical guidelines to remain conservative in recommending SGBs. Moreover, factors to predict which patients will benefit from blockade series are not yet available. Objectives: The objectives of this study were to evaluate through a clinical approach SGBs' effectiveness performed under ultrasound guidance (us-SGB) and to identify factors to predict effectiveness. Methods: We retrospectively analyzed 809 us-SGBs in 105 patients with complex regional pain syndrome (CRPS) and neuropathic pain syndromes (all potentially including sympathetically maintained pain) regarding pain reduction. Volume and type of local anesthetics, magnitude of pain, temperature of the dorsal hands, heart rate, blood pressure, and occurrence of Horner's syndrome or complications were assessed. Results: Pain reduction after a blockade series was highly significant and showed no significant correlation with change of temperature, vital signs, or Horner's syndrome. For patients with neuropathic pain, the predictive potential for pain reduction following a blockade series lies within the range of pain reduction after the first blockade. In a literature comparison, incidences of complications (hoarseness 3.9%, dysphagia 3.4%, hematoma 0.6%) were lower than in non-ultrasound-guided techniques. Conclusions: Data indicate that us-SGBs are safe and effective in reducing sympathetically maintained pain in patients with CRPS and neuropathic pain syndromes. Pain reduction after the first blockade may predict total pain reduction after a blockade series. Other clinical measures seem unsuitable to predict effectiveness. &

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Section: Discussionmentioning

confidence: 99%

Effectiveness, Safety, and Predictive Potential in Ultrasound‐Guided Stellate Ganglion Blockades for the Treatment of Sympathetically Maintained Pain

et al. 2020

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“…[ 2 ] Patients with drug-resistant epilepsy often experience various side effects of drug therapy, and the failure to control seizures has the risk of devastating psychosocial, economic, and health consequences. [ 3 ] Stellate ganglion blocks have been shown to provide effective pain relief in a number of different conditions, [ 4 ] but no one had reported stellate ganglion blocks for the treatment of epileptic pain. The patient received intermittent stellate ganglion blocks during 2 months.…”

Section: Discussionmentioning

confidence: 99%

A case report of stellate ganglion block in the treatment of epileptic pain

Wang

Zhu²

2017

Medicine

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Rationale:Stellate ganglion blocks have been shown to provide effective pain relief in a number of different conditions, but no one had reported stellate ganglion blocks for the treatment of epileptic pain. We describe a case report of the successful use of stellate ganglion block in the treatment of epileptic pain in the patient.Patient concerns:A 8-year-old girl who had experienced severe paroxysmal pain in her right upper limb.Diagnoses:She was diagnosed as drug-resistant partial epilepsy.Interventions:The patient received stellate ganglion blocks with lidocaine for 2 courses with 2 weeks in a course of treatment and oral carbamazepine once a day.Outcomes:Carbamazepine dosage gradually tapered until stop and epileptic pain attacks become less and less, eventually disappear.Lessons:Stellate ganglion block may be an effective treatment of intractable partial epilepsy. However, more research is now needed to verify the validity.

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“…However, properly performed SGB is safe and an easy procedure and the complications are rare with an incidence of 0.17%. [11] Fluoroscopy guided SGB is known to enhance safety. [24] In this study, using fluoroscopy guided SGB; none of the patient had any serious complication during or …”

Section: Discussionmentioning

confidence: 99%

“…[8] Stellate ganglion block (SGB) with local anesthetics has been widely used to provide pain relief, to treat vascular spastic disorders of upper limb, chronic pain conditions and treatment of refractory angina. [9][10][11][12] The SGB has also been used for increasing radial artery (RA) blood flow and preventing RA spasm by sympathetic blockade in coronary artery bypass surgery. [13] Although the effects of topical and systemic vasodilators on blood flow in the IMA have been investigated, there is limited literature regarding the impact of SGB on IMA blood flow.…”

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confidence: 99%