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Reflex sympathetic dystrophy syndrome: two case studies

Journal of Post Anesthesia Nursing

|October 1, 1993

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Reflex sympathetic dystrophy syndrome (RSDS) presents with varied symptoms, but pain is universal. This study highlights differing patient responses to treatment, including stellate ganglion blocks, and crucial nursing assessments post-procedure.

Area of Science:

Anesthesiology
Pain Management
Neurology

Background:

Reflex sympathetic dystrophy syndrome (RSDS) is a complex, disabling condition affecting multiple body systems.
Pain is the sole consistent symptom across all RSDS patients.
RSDS can manifest with diverse peripheral nerve, muscle, bone, vascular, and skin alterations.

Observation:

This article presents two distinct cases of RSDS.
The cases illustrate variability in patient symptoms and treatment responses.
Stellate ganglion block is a recognized treatment modality for RSDS.

Findings:

Patient responses to RSDS treatment, including stellate ganglion blocks, can differ significantly.
Anesthesiologists perform stellate ganglion blocks in the Post Anesthesia Care Unit (PACU).

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Specific nursing assessments are vital following this procedure.

Implications:

Understanding symptom variability is key for effective RSDS management.
The findings underscore the importance of tailored patient care for RSDS.
Standardized postanesthesia nursing protocols are essential for patients undergoing stellate ganglion blocks.