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Related Experiment Videos

[The stellate ganglion blockade]

V Hempel1

  • 1Klinik für Anaesthesiologie, Krankenanstalten Konstanz.

Der Anaesthesist
|February 1, 1993
PubMed
Summary

Stellate ganglion block offers targeted sympathetic blockade for conditions like impaired circulation and reflex dystrophy. This review details its technique, effectiveness, and potential complications, emphasizing informed consent.

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Area of Science:

  • Anesthesiology and Pain Management
  • Neurology
  • Vascular Surgery

Context:

  • The stellate ganglion, a key component of the sympathetic nervous system, influences vascular and neurological functions in the head, neck, and upper extremities.
  • Understanding its role is crucial for managing various pain and circulatory disorders.

Purpose:

  • To provide a comprehensive overview of the stellate ganglion block (SGB).
  • To detail the indications, contraindications, anatomical considerations, and procedural techniques of SGB.
  • To discuss the efficacy, potential complications, and alternatives to SGB for informed clinical decision-making.

Summary:

  • Stellate ganglion block is a selective sympathetic blockade impacting the ipsilateral head, neck, upper extremity, and thorax.
  • Established indications include impaired vascular circulation, sympathetic reflex dystrophy, causalgia, and herpes zoster.
  • Disputed indications involve acute hearing loss and retinal arterial spasms. The review covers cervical sympathetic chain anatomy, paratracheal access technique, and efficacy testing.
  • Potential side-effects and complications are discussed alongside alternative sympathetic blockade methods.

Impact:

  • Informs clinicians about the therapeutic applications and risks associated with stellate ganglion blocks.
  • Facilitates improved patient selection and management for conditions benefiting from sympathetic modulation.
  • Highlights the importance of patient education and informed consent regarding SGB procedures and alternatives.

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