Open AccessEvaluation of new approach to ultrasound guided stellate ganglion block
Author(s) -
Anju Ghai,
Teshi Kaushik,
Zile Singh Kundu,
Sarthak Wadhera,
Raman Wadhera
Publication year - 2016
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.168815
Subject(s) - medicine , stellate ganglion , ultrasound , bupivacaine , blockade , nerve block , vertebral artery , radiology , surgery , nuclear medicine , anesthesia , alternative medicine , pathology , receptor
Ultrasound imaging is an ideal tool for stellate ganglion block (SGB) due to clarity, portability, lack of radiation, and low cost. Ultrasound guided anterior approach requires the application of pressure to the anterior neck and is associated with more risk of injury to inferior thyroid artery, vertebral artery, and esophagus. The lateral approach does not interfere with nerve or vascular structures. Blockade at the C6 vertebral level results in more successful sympathetic blockade of the head and neck with less sympathetic blockade of the upper extremity compared to sympathetic blockade at C7 vertebral level, which produces successful sympathetic blockade of upper extremity. This is helpful in patients of complex regional pain syndrome of the upper limb. Hence, we conducted a study using the lateral approach at C7 level.