Ultrasound-Guided Stellate Ganglion Blocks Combined with Pharmacological and Occupational Therapy in Complex Regional Pain Syndrome (CRPS): A Pilot Case Series<i>Ad Interim</i>

The inputs from sympathetic ganglia have been known to be involved in the pathophysiology of various painful conditions such as complex regional pain syndrome, cancer pain of different origin, and coccygodynia. Sympathetic ganglia blocks are used to relieve patients who suffer from these conditions for over a century. Many numbers of local anesthetics such as bupivacaine or neurolytic agents such as alcohol can be chosen for a successful block. The agent is selected according to its duration of effect and the purpose of the injection. Most commonly used sympathetic blocks are stellate ganglion block, lumbar sympathetic block, celiac plexus block, superior hypogastric block, and ganglion Impar block. In this review, indications, methods, effectiveness, and complications of these blocks are discussed based on the data from the current literature.

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“…However, since this study did not have a control group, it cannot be concluded that SGB is more efficient than other approaches for CRPS. 20 …”

Section: Introductionmentioning

confidence: 99%

Ganglion blocks as a treatment of pain: current perspectives

Gündüz

Keniş-Coşkun

2017

JPR

104

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“…Their study results showed a 3.8% occurrence of transient hoarseness and no severe side effects were observed. 17 In conclusion, this case illustrates the potential advantages of ultrasound-guided stellate block on digital ischemia refractory to standard therapy. Nevertheless, larger studies are necessary to define the optimal modalities.…”

Section: Discussionmentioning

confidence: 70%

Ultrasound-guided bilateral stellate ganglion blockade to treat digital ischemia in a patient with sepsis: a case report

Bataille

Nucci

Mora

et al. 2015

Can J Anesth/J Can Anesth

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“…Wei et al (2014) reported that dysphagia and hoarseness was reported in 13.5% cases and they did not encountered serious complications. 11 Previously a study based on questionnaire,…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Fluoroscopy vs Ultrasound Guided Stellate Ganglion Block

Situ¹,

Singh²,

Singh³

2020

IJCMR

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Introduction: Stellate ganglion block (SGB) is used for the treatment of many vascular disorders and sympathetically mediated pain including pain of head, neck, cancer, phantom, postherpetic neuralgia, cardiac arrythmia, orofacial pain, and vascular headache. Various modalities to localize stellate ganglion use of fluoroscopy, computerized tomography, magnetic resonance imaging, and radionucleotide tracers. Ultrasound imaging is a best tool for SGB due to its clarity, low cost, lack of radiation and portability. In this study we aimed to compare the efficacy of fluoroscopy vs ultrasound guided stellate ganglion block in lowering the pain using numeric rating scale (NRS). Material and Methods: Study was perform in 40 patients suffering from upper limb and head and neck, neuropathic pain. The first group (Group I) received stellate ganglion block under ultrasound guidance while the second group (Group II) received stellate ganglion block under fluoroscopy guidance. The t-test and Man Whitney test were perform to analyses the data. Results: The requirement of different analgesia were comparable in both group I and group II patients. Change in pain score was maximum at immediate post-block, 1 h postblock, 6 h post block (65.84% of baseline) while change was minimum at 48 h post-block (48.45% of baseline). The pain was significantly lower in group I from baseline as compared to group II at all periods. Range of Ease rating score were also lower in group I. Block was statistically achieved earlier in Group I (4.55±0.69 min) as compared to Group II (12.60±2.56 min). Conclusion: USG and fluoroscopy are both good techniques for stellate ganglion block, but due to less complication, early blocking effect time, more precise placement of medication ultrasound guided block is preferred over fluoroscopy method.

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Ultrasound-Guided Stellate Ganglion Blocks Combined with Pharmacological and Occupational Therapy in Complex Regional Pain Syndrome (CRPS): A Pilot Case SeriesAd Interim

Cited by 24 publications

References 31 publications

Ganglion blocks as a treatment of pain: current perspectives

Ganglion blocks as a treatment of pain: current perspectives

Ultrasound-guided bilateral stellate ganglion blockade to treat digital ischemia in a patient with sepsis: a case report

Comparative Study of Fluoroscopy vs Ultrasound Guided Stellate Ganglion Block

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