Ultrasound-guided stellate ganglion block
Keywords:
Stellate ganglion, Chronic pain, Complex regional pain syndromes, Ultrasonography, Interventional, Nerve block.
Abstract
The stellate ganglion block has multiple indications for pain management. The technique has evolved from using anatomical landmarks to image-guided puncture with fluoroscopy and ultrasound.
Ultrasonography is a very useful tool that allows for real time visualization of the vascular structures (carotid, vertebral artery), the visceral structures (esophagus) and thus helps in preventing puncture injuries. This article offers a description of the indications, the ultrasound-guided technique and complications under the author's point of view.
References
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2. Samer N, Amaresh V, Nilesh P. Ultrasound-guided stellate ganglion block successfully prevent esophageal puncture. Pain Physician. 2007:747-52.
3. Samer N. Ultrasound-guided stellate ganglion block: safety and efficacy. Curr Pain Headache Rep. 2014;18:424.
4. Hogan Q, Erickson S, Haddox DJ, Abram S. The spread of solution during stellate ganglion block. Reg Anesth. 1992;17:78-83.
5. Bannister LH, Berry MM, Collins P, Dussek JE. Gray's anatomy. New York: Churchill Livisngstone; 1995.
6. Freiré E, Camba MA. Técnicas e indicaciones del bloqueo del ganglio estrellado para el tratamiento del dolor. Rev Soc Esp Dolor. 2002:328-37.
7. Testud L, Latarjet A. Sistema órgano vegetativo cervical, tronco y ganglios. In: Compendio de anatomía descriptiva. Barcelona: Ed. Salvat Editores, S.A.; 1987. p. 501-3. ]
8. Hogan Q, Erickson SJ. Magnetic resonance imaging of the stellate ganglion: normal appearance. Am J Roentgenol. 1992;158:655-9.
9. Ataide A, Brandao B, Pacheco C, Calheiros D, Oliveira G, Neto B, et al. Estudio topográfico y biométrico del ganglio cervicotorácico (Ganglio Estrellado). Int J Morphol. 2008;26:451-5. [ Links ]
10. Restrepo C, Gomez C, Jaramillo S, Ramírez LJ, Lopera LM, Vargas JF. Bloqueo del ganglio estrellado. Rev Soc Esp Dolor. 2012;19:101-7.
11. Mazin E. Cervical sympathetic and stellate ganglion blocks. Pain Physician. 2000:294-304.
12. López A, De AJ. Bloqueo del ganglio estrellado: aplicaciones en el tratamiento del dolor crónico. Rev Soc Esp Dolor. 1999;6:449-53.
13. Angel A. Bloqueo del ganglio estrellado en el manejo del dolor. Rev Colomb Anestesiol. 2007;35:227-32.
14. Ellis H, Feldman S. Anatomy for anesthetists. 6th ed. Oxford: Blackwell Scientic; 1993.
15. Buckley FP, MorriaccaG, Murphy TM. Neurolytic blockade and hypophysectomy. In: Bonica JJ, editor. The management of pain, vol. II, 2nd ed. Philadelphia: Lea and Febiger; 1990. p. 2012-4.
16. Raj PP. Stellate ganglion block. In: Waldman SD, Winne AP, editors. Interventional pain management. Philadelphia: Dannemiller Education, WB Saunders Company;1996.
17. Lofstrom B, Cousins M. Sympathetic neural blockade of the upper and lower extremity. In: Cousins M, Bridenbaugh PO, editors. Neural blockade in clinical anesthesia and management of pain. 2nd ed. London: J.P. Lippincot;1988.
18. Bonica JJ. Sympathetic nerve blocks for pain diagnosis and therapy. Technical considerations vol. II. Block of stellate ganglion and cervicothoracic and thoracic chains. Winthrop: Breon Laboratories; 1984. p. 61-77.
19. Wilkinson H. Neurosurgical procedures of the sympathetic nervous system. Pain Clinic. 1995;1:43-50.
20. Thomas D. Forced acid diuresis and stellate ganglion block in the treatment of quinine poisoning. Anaesthesia. 1984;39:257-60.
21. Rivera R, Naquira L, Martínez S, Cifuentes V. Sindrome compartimental en miembros superiores por picadura de abejas: reporte de caso. Rev Colomb Anestesiol. 2014;42:65-9.
22. Masuda A, Fujiki A, Hamada T, Wakasugi M, Kamitani K, Ito Y. A transient sinus arrest after right stellate ganglion block: assessment of autonomic function by heart rate spectral analysis. Masui. 1995;44:858-61.
23. Abdi S, Zhou Y, Doshi R, Patel N. Stellate ganglion block: emphasis on the new oblique fluoroscopic approach. Techn Reg Anesth Pain Manag. 2005;9:73-80.
24. Tran DQ, Finlayson RJ. Use stellate ganglion block to salvage an ischemic hand caused by the extravasation of casopressors. Reg Anesth Pain Med. 2005;30:405-8.
25. Lee C-C, Chuang C-C, Liou J-Y, Hsieh Y-C. Successful management of contrast medium extravasation injury through stellate ganglion block and intra-arterial nitroglicerina. Acta Anaesthesiol Taiwan. 2011;49:116-8.
26. Rodriguez RF, Bravo LE, Tovar MA, Castro F, Ramos GE, Daza P. Determinación de la eficacia analgésica de los bloqueos del ganglio estrellado en el Síndrome Doloroso Regional Complejo con dolor mediado por el sistema nervioso simpático: estudio preliminar. Rev Soc Esp Dolor. 2006;4:230-7.
27. Hey M, Wilson I, Johnson MI. Stellate ganglion Blockade for refractory index finger pain - a case report. Ann Phys Rehabil Med. 2011;54:181-8.
28. Forouzanfar T, van KleefM, Weber WE. Radiofrequency lesions of the stellate ganglion in chronic pain syndromes: retrospective analysis of clinical efficacy in 86 patients. Clin J Pain. 2000;16:164-8.
29. Hardy PAJ, Wells JCD. Extent of sympathetic blockade after stellate ganglion block with bupivacaine. Pain. 1989;36:193-6.
30. Freire Vila E, Camba Rodríguez MA. Técnicas e indicaciones del bloqueo del ganglio estrellado para el tratamiento del dolor. Rev Soc Esp Dolor. 2002;9:328-37.
2. Samer N, Amaresh V, Nilesh P. Ultrasound-guided stellate ganglion block successfully prevent esophageal puncture. Pain Physician. 2007:747-52.
3. Samer N. Ultrasound-guided stellate ganglion block: safety and efficacy. Curr Pain Headache Rep. 2014;18:424.
4. Hogan Q, Erickson S, Haddox DJ, Abram S. The spread of solution during stellate ganglion block. Reg Anesth. 1992;17:78-83.
5. Bannister LH, Berry MM, Collins P, Dussek JE. Gray's anatomy. New York: Churchill Livisngstone; 1995.
6. Freiré E, Camba MA. Técnicas e indicaciones del bloqueo del ganglio estrellado para el tratamiento del dolor. Rev Soc Esp Dolor. 2002:328-37.
7. Testud L, Latarjet A. Sistema órgano vegetativo cervical, tronco y ganglios. In: Compendio de anatomía descriptiva. Barcelona: Ed. Salvat Editores, S.A.; 1987. p. 501-3. ]
8. Hogan Q, Erickson SJ. Magnetic resonance imaging of the stellate ganglion: normal appearance. Am J Roentgenol. 1992;158:655-9.
9. Ataide A, Brandao B, Pacheco C, Calheiros D, Oliveira G, Neto B, et al. Estudio topográfico y biométrico del ganglio cervicotorácico (Ganglio Estrellado). Int J Morphol. 2008;26:451-5. [ Links ]
10. Restrepo C, Gomez C, Jaramillo S, Ramírez LJ, Lopera LM, Vargas JF. Bloqueo del ganglio estrellado. Rev Soc Esp Dolor. 2012;19:101-7.
11. Mazin E. Cervical sympathetic and stellate ganglion blocks. Pain Physician. 2000:294-304.
12. López A, De AJ. Bloqueo del ganglio estrellado: aplicaciones en el tratamiento del dolor crónico. Rev Soc Esp Dolor. 1999;6:449-53.
13. Angel A. Bloqueo del ganglio estrellado en el manejo del dolor. Rev Colomb Anestesiol. 2007;35:227-32.
14. Ellis H, Feldman S. Anatomy for anesthetists. 6th ed. Oxford: Blackwell Scientic; 1993.
15. Buckley FP, MorriaccaG, Murphy TM. Neurolytic blockade and hypophysectomy. In: Bonica JJ, editor. The management of pain, vol. II, 2nd ed. Philadelphia: Lea and Febiger; 1990. p. 2012-4.
16. Raj PP. Stellate ganglion block. In: Waldman SD, Winne AP, editors. Interventional pain management. Philadelphia: Dannemiller Education, WB Saunders Company;1996.
17. Lofstrom B, Cousins M. Sympathetic neural blockade of the upper and lower extremity. In: Cousins M, Bridenbaugh PO, editors. Neural blockade in clinical anesthesia and management of pain. 2nd ed. London: J.P. Lippincot;1988.
18. Bonica JJ. Sympathetic nerve blocks for pain diagnosis and therapy. Technical considerations vol. II. Block of stellate ganglion and cervicothoracic and thoracic chains. Winthrop: Breon Laboratories; 1984. p. 61-77.
19. Wilkinson H. Neurosurgical procedures of the sympathetic nervous system. Pain Clinic. 1995;1:43-50.
20. Thomas D. Forced acid diuresis and stellate ganglion block in the treatment of quinine poisoning. Anaesthesia. 1984;39:257-60.
21. Rivera R, Naquira L, Martínez S, Cifuentes V. Sindrome compartimental en miembros superiores por picadura de abejas: reporte de caso. Rev Colomb Anestesiol. 2014;42:65-9.
22. Masuda A, Fujiki A, Hamada T, Wakasugi M, Kamitani K, Ito Y. A transient sinus arrest after right stellate ganglion block: assessment of autonomic function by heart rate spectral analysis. Masui. 1995;44:858-61.
23. Abdi S, Zhou Y, Doshi R, Patel N. Stellate ganglion block: emphasis on the new oblique fluoroscopic approach. Techn Reg Anesth Pain Manag. 2005;9:73-80.
24. Tran DQ, Finlayson RJ. Use stellate ganglion block to salvage an ischemic hand caused by the extravasation of casopressors. Reg Anesth Pain Med. 2005;30:405-8.
25. Lee C-C, Chuang C-C, Liou J-Y, Hsieh Y-C. Successful management of contrast medium extravasation injury through stellate ganglion block and intra-arterial nitroglicerina. Acta Anaesthesiol Taiwan. 2011;49:116-8.
26. Rodriguez RF, Bravo LE, Tovar MA, Castro F, Ramos GE, Daza P. Determinación de la eficacia analgésica de los bloqueos del ganglio estrellado en el Síndrome Doloroso Regional Complejo con dolor mediado por el sistema nervioso simpático: estudio preliminar. Rev Soc Esp Dolor. 2006;4:230-7.
27. Hey M, Wilson I, Johnson MI. Stellate ganglion Blockade for refractory index finger pain - a case report. Ann Phys Rehabil Med. 2011;54:181-8.
28. Forouzanfar T, van KleefM, Weber WE. Radiofrequency lesions of the stellate ganglion in chronic pain syndromes: retrospective analysis of clinical efficacy in 86 patients. Clin J Pain. 2000;16:164-8.
29. Hardy PAJ, Wells JCD. Extent of sympathetic blockade after stellate ganglion block with bupivacaine. Pain. 1989;36:193-6.
30. Freire Vila E, Camba Rodríguez MA. Técnicas e indicaciones del bloqueo del ganglio estrellado para el tratamiento del dolor. Rev Soc Esp Dolor. 2002;9:328-37.
How to Cite
1.
Serna-Gutiérrez JS-G. Ultrasound-guided stellate ganglion block. Colomb. J. Anesthesiol. [Internet]. 2015 Oct. 1 [cited 2024 Apr. 26];43(4):278–282. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/339
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2015-10-01
How to Cite
1.
Serna-Gutiérrez JS-G. Ultrasound-guided stellate ganglion block. Colomb. J. Anesthesiol. [Internet]. 2015 Oct. 1 [cited 2024 Apr. 26];43(4):278–282. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/339
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