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

Deng, Jingjing; Zhang, Cailing; Liu, Dianwen; Huang, Tao; Xu, Jianming; Liu, Qing‐Yan; Zhang, Yue-Nong

doi:10.12998/wjcc.v11.i10.2160

Cited by 6 publications

(2 citation statements)

References 47 publications

(41 reference statements)

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“…Since the first appearance of ultrasound-guided SGB, it has been extensively utilized in the field of non-anesthesiology sedation, exhibiting remarkable therapeutic efficacy in various conditions, including pain management, sleep disturbances, immunological disorders, irregular heart rhythms, mental health ailments, and endocrine dysfunctions ( Deng et al, 2023 ). Compared to the traditional blind technique, ultrasound-guided SGB enhances the precision of nerve blockade while reducing the use of anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided stellate ganglion blockade – patient positioning is everything: a case report demonstrating the efficacy of a modified out-of-plane approach

Mo,

Qian,

Tian

et al. 2024

Front. Neurosci.

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BackgroundInsomnia has become increasingly prevalent in modern society and is notoriously difficult to treat. Many patients exhibit a poor response to pharmacological interventions. Stellate ganglion block (SGB) has emerged as an effective method for managing insomnia; however, its efficacy may be compromised in some patients, primarily due to a variant vertebral artery anatomy.Case presentationThis case report describes a patient with severe insomnia accompanied by anxiety. Through cervical ultrasound scanning, we identified richly branched cervical arteries at the C6−C7 segment of the vertebral artery, along with anatomical variations, which could pose a heightened risk for the traditional SGB procedure. Therefore, after carefully adjusting the patient’s positioning, we proceeded with ultrasound-guided SGB using a lateral paravein out-of-plane approach. Clinical signs of successful insomnia symptoms alleviation were consistently observed after each block utilizing this alternative technique multiple times in a single patient.ConclusionOur report reveals a new lateral paravein out-of-plane approach for ultrasound-guided SGB to treat insomnia, which might be considered an alternative method. More studies should be carried out to confirm the efficacy of this new approach.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided stellate ganglion blockade – patient positioning is everything: a case report demonstrating the efficacy of a modified out-of-plane approach

Mo,

Qian,

Tian

et al. 2024

Front. Neurosci.

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“…Furthermore, the inclusion of hormones or other drugs in local anesthetics during multiple injections may impair the stellate ganglia [32]. Secondly, improper technique may lead to needle-induced damage to neck vessels, resulting in local hematoma, or pneumothorax and hemothorax Am J Transl Res 2024;16(3):1018-1028 due to incorrect needle penetration angles [33,34]. Hence, greater vigilance is required regarding the complications associated with SGB in clinical settings.…”

Section: Discussionmentioning

confidence: 99%

Effect of ultrasound-guided stellate ganglion block on cerebral oxygen metabolism and S100B protein during carotid endarterectomy

Yang

2024

Am J Transl Res

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Objective: To investigate the effect of ultrasound-guided stellate ganglion block (SGB) on cerebral oxygen metabolism and serum S100B during carotid endarterectomy (CEA). Methods: Patients who were prospectively enrolled to receive CEA under elective general anesthesia were randomized into an SGB group and a control group (ChiCTR2000033385). Before anesthesia, the SGB group underwent ipsilateral SGB under ultrasound guidance, while the control group did not. Ultrasound-guided right subclavian internal jugular vein catheterization was performed under general anesthesia. Mean arterial pressure (MAP) and heart rate (HR) were monitored at various time points (T0-T4). Arterial and internal jugular venous bulb blood were collected for blood gas analysis, determining jugular venous oxygen saturation (SjvO 2 ), arteriovenous oxygen difference (AVDO 2 ), cerebral oxygen extraction ratio (COER), lactate production rate (LPR), and lactate-oxygen index (LOI). The serum concentration of S100B in the internal jugular venous bulb at each time point was measured. Results: The results revealed significantly lower HR during anesthesia induction and surgery in the SGB group, with more stable MAP and HR during endotracheal intubation and surgery compared to the control group (P<0.05). The control group exhibited decreases at T3 and a slight increase at T4. SjvO 2 was significantly higher in the SGB group, while AVDO 2 and COER gradually decreased over time, but they were significantly higher in the control group (P<0.05). LPR and LOI in both groups peaked at T3 and were significantly different between T4 and T2 (P<0.05). Serum S100B levels in both groups rose and then decreased at each time point, but they were consistently lower in the SGB group (P<0.05). Conclusion: SGB before CEA effectively suppresses the stress response, maintains intraoperative hemodynamic stability, improves brain tissue oxygen supply, and demonstrates a neuroprotective effect.

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Reduction of long COVID symptoms after stellate ganglion block: A retrospective chart review study

Duricka,

Liu

2024

Autonomic Neuroscience

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

Cited by 6 publications

References 47 publications

Ultrasound-guided stellate ganglion blockade – patient positioning is everything: a case report demonstrating the efficacy of a modified out-of-plane approach

Ultrasound-guided stellate ganglion blockade – patient positioning is everything: a case report demonstrating the efficacy of a modified out-of-plane approach

Effect of ultrasound-guided stellate ganglion block on cerebral oxygen metabolism and S100B protein during carotid endarterectomy

Reduction of long COVID symptoms after stellate ganglion block: A retrospective chart review study

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