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Stellate Ganglion Block

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Regional Nerve Blocks in Anesthesia and Pain Therapy

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Abstract

Stellate ganglion refers to the confluence of inferior cervical and the first thoracic sympathetic ganglia. Stellate ganglion block (SGB) is performed for the management of a variety of pain conditions, including complex regional pain syndrome, refractory angina, and ischemic pain in the upper limb from peripheral vascular disease [7, 24, 25]. More recently, preoperative SGB has been shown to reduce postoperative pain and analgesic requirements [15].

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References

  1. Abdi S. A new and easy technique to block the stellate ganglion. Pain Physician. 2004;7:327–31.

    PubMed  Google Scholar 

  2. Bhatia A, Flamer D, Peng PW. Evaluation of sonoanatomy relevant to performing stellate ganglion blocks using anterior and lateral simulated approaches: an observational study. Can J Anaesth. 2012;59:1040–7.

    Article  PubMed  Google Scholar 

  3. Bhatia A, Brull R. Review article: is ultrasound guidance advantageous for interventional pain management? A systematic review of chronic pain outcomes. Anesth Analg. 2013;117:236–51.

    Article  PubMed  Google Scholar 

  4. Bruneau M, Cornelius JF, Marneffe V, Triffaux M, George B. Anatomical variations of the V2 segment of the vertebral artery. Neurosurgery. 2006;59:20–4.

    Article  Google Scholar 

  5. Christie JM, Martinez CR. Computerized axial tomography to define the distribution of solution after stellate ganglion nerve block. J Clin Anesth. 1995;7:306–11.

    Article  CAS  PubMed  Google Scholar 

  6. Civelek E, Kiris T, Hepgul K, Canbolat A, Ersoy G, Cansever T. Anterolateral approach to the cervical spine: major anatomical structures and landmarks. J Neurosurg Spine. 2007;7:669–78.

    Article  PubMed  Google Scholar 

  7. Elias M. Cervical sympathetic and stellate ganglion blocks. Pain Physician. 2000;3:294–304.

    CAS  PubMed  Google Scholar 

  8. Fitzgerald MJT. Neuroanatomy: basic and clinical. 3rd ed. London: WB Saunders; 1996.

    Google Scholar 

  9. Gofeld M, Bhatia A, Abbas S, Ganapathy S, Johnson M. Development and validation of a new technique for ultrasound-guided stellate ganglion block. Reg Anesth Pain Med. 2009;34:475–9.

    Article  PubMed  Google Scholar 

  10. Higa K, Hirata K, Hirota K, Nitahara K, Shono S. Retropharyngeal hematoma after stellate ganglion block. Anesthesiology. 2006;105:1238–45.

    Article  PubMed  Google Scholar 

  11. Hogan QH, Erickson SJ. MR imaging of the stellate ganglion: normal appearance. AJR Am J Roentgenol. 1992;158:655–9.

    Article  CAS  PubMed  Google Scholar 

  12. Hogan Q, Erickson S, Haddox D, et al. The spread of solution during stellate ganglion block. Reg Anesth. 1992;17:78–83.

    CAS  PubMed  Google Scholar 

  13. Janik JE, Hoeft MA, Ajar AH, Alsofrom GF, Borrello MT, Rathmell JP. Variable osteology of the sixth cervical vertebra in relation to stellate ganglion block. Reg Anesth Pain Med. 2008;33:102–8.

    Article  PubMed  Google Scholar 

  14. Kapral S, Krafft P, Gosch M, Fleischmann M, Weinstabl C. Ultrasound imaging for stellate ganglion block: direct visualization of puncture site and local anesthetic spread. A pilot study. Reg Anesth. 1995;20:323–8.

    CAS  PubMed  Google Scholar 

  15. Kumar N, Thapa D, Gombar S, Ahuja V, Gupta R. Analgesic efficacy of pre-operative stellate ganglion block on postoperative pain relief: a randomised controlled trial. Anaesthesia. 2014;69:954–60.

    Article  CAS  PubMed  Google Scholar 

  16. Matula C, Trattnig S, Tschabitscher M, Day JD, Koos WT. The course of the prevertebral segment of the vertebral artery: anatomy and clinical significance. Surg Neurol. 1997;48:125–31.

    Article  CAS  PubMed  Google Scholar 

  17. Narouze S, Vydyanathan A, Patel N. Ultrasound-guided stellate ganglion block successfully prevented esophageal puncture. Pain Physician. 2007;10:747–52.

    PubMed  Google Scholar 

  18. Narouze S. Beware of the “serpentine” inferior thyroid artery while performing stellate ganglion block. Anesth Analg. 2009;109:289–90.

    Article  PubMed  Google Scholar 

  19. Narouze S. Ultrasound-guided stellate ganglion block: safety and efficacy. Curr Pain Headache Rep. 2014;18:424.

    Article  PubMed  Google Scholar 

  20. Okuda Y, Urabe K, Kitajima T. Retropharyngeal or cervicomediastinal haematomas following stellate ganglion block. Eur J Anaesthesiol. 2003;20:757–9.

    Article  CAS  PubMed  Google Scholar 

  21. Shibata Y, Fujiwara Y, Komatsu T. A new approach of ultrasound-guided stellate ganglion block. Anesth Analg. 2007;105:550–1.

    Article  PubMed  Google Scholar 

  22. Siegenthaler A, Mlekusch S, Schliessbach J, Curatolo M, Eichenberger U. Ultrasound imaging to estimate risk of esophageal and vascular puncture after conventional stellate ganglion block. Reg Anesth Pain Med. 2012;37:224–7.

    Article  PubMed  Google Scholar 

  23. Slapppendel F, Thijssen H, Crul BJ, et al. The stellate ganglion in magnetic resonance imaging, a quantification of anatomic variability. Anesthesiology. 1995;83:424–6.

    Article  Google Scholar 

  24. Stanik-Hutt JA. Management options for angina refractory to maximal medical and surgical interventions. AACN Clin Issues. 2005;16:320–32.

    Article  PubMed  Google Scholar 

  25. Stanton-Hicks MD, Burton AW, Bruehl SP, et al. An updated interdisciplinary clinical pathway for CRPS: report of an expert panel. Pain Pract. 2002;2:1–16.

    Article  PubMed  Google Scholar 

  26. Takanami I, Abiko T, Koizumi S. Life-threatening airway obstruction due to retropharyngeal and cervicomediastinal hematomas following stellate ganglion block. Thorac Cardiovasc Surg. 2009;57:311–2.

    Article  CAS  PubMed  Google Scholar 

  27. Tubbs RS, Loukas M, Remy AC, Shoja MM, Salter EG. The vertebral nerve revisited. Clin Anat. 2007;20:644–7.

    Article  PubMed  Google Scholar 

  28. van Eijs F, Geurts J, van Kleef M, Faber CG, Perez RS, Kessels AG, Van Zundert J. Predictors of pain relieving response to sympathetic blockade in complex regional pain syndrome type 1. Anesthesiology. 2012;116:113–21.

    Article  PubMed  Google Scholar 

  29. Williams PL. Gray’s anatomy. 38th ed. New York: Churchill Livingstone; 1995.

    Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesia, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Anuj Bhatia

  2. Department of Anesthesia, Toronto Western Hospital, University of Toronto, McL 2-405 Toronto Western Hospital, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada

    Philip W. H. Peng

Authors
  1. Anuj Bhatia
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  2. Philip W. H. Peng
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Correspondence to Anuj Bhatia .

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© 2015 Springer International Publishing Switzerland

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Bhatia, A., Peng, P.W.H. (2015). Stellate Ganglion Block. In: Regional Nerve Blocks in Anesthesia and Pain Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-05131-4_13

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  • DOI: https://doi.org/10.1007/978-3-319-05131-4_13

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-05130-7

  • Online ISBN: 978-3-319-05131-4

  • eBook Packages: MedicineMedicine (R0)

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