The efficacy of ultrasound-guided stellate ganglion block in alleviating postoperative pain and ventricular arrhythmias and its application prospects.
Analgesic effect
Intraoperative complications
Postoperative pain
Ultrasound-guided stellate ganglion block
Ventricular arrhythmias
Journal
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
13
11
2020
accepted:
29
04
2021
pubmed:
20
5
2021
medline:
10
8
2021
entrez:
19
5
2021
Statut:
ppublish
Résumé
Stellate ganglion block (SGB) has been applied in clinic for almost a century as a therapeutic procedure to alleviate pain-related syndromes and vascular deficits in the upper extremities. A great number of causative side effects and complications due to technological insufficiency and anatomical variations called for the popularity of ultrasound-guided SGB which has made tremendous contribution for clinical diagnosis and therapy, primarily in postoperative pain and cardiac and vascular disorders. This work was aimed at systematically summarizing the current clinical application of ultrasound-guided SGB and putting forward the potential prospective application in future. By searching ultrasound-guided SGB-related works on PubMed database, we mainly elucidated the analgesic effect of preoperative SGB in patients undergoing surgical procedures and substantial reduction in patients with ventricular arrhythmias. The volume of local anesthetics used in ultrasound-guided SGB has been diminished in the recent few years' investigations and successful operation of ultrasound-guided SGB could be achieved with minimal safe volume of local anesthetics. This invasive and safe procedure shows vast potential for future development in clinical treatment for autonomic nervous system and autoimmune disorders. We also put forward hypothesis that ultrasound-guided SGB could be applied combined with controlled hypotension to reduce the intraoperative complications in orthopedic surgery such as insufficiency of cerebral blood flow and reflexive tachycardia. Thus, it is of vital essence to improve the professional skills of physicians for the high rate of success and explore more effective measures which could enhance therapeutic effects when combined with ultrasound-guided SGB in alleviating misery of patients.
Identifiants
pubmed: 34008041
doi: 10.1007/s10072-021-05300-4
pii: 10.1007/s10072-021-05300-4
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3121-3133Subventions
Organisme : National Natural Science Foundation of China
ID : No. 81960214
Informations de copyright
© 2021. Fondazione Società Italiana di Neurologia.
Références
Cai C, Dai MY, Tian Y, Zhang P, Wittwer ED, Rho RH, Kapa S, McLeod CJ, Mulpuru SK, Lee HC, Ackerman MJ, Asirvatham SJ, Munger TM, Chen ML, Friedman PA, Cha YM (2019) Electrophysiologic effects and outcomes of sympatholysis in patients with recurrent ventricular arrhythmia and structural heart disease. J Cardiovasc Electrophysiol 30(9):1499–1507
pubmed: 31199536
doi: 10.1111/jce.14030
pmcid: 31199536
Kumar A, Sinha C, Kumar A, Sinha AK (2017) Ultrasound-guided stellate ganglion block for resistant ventricular tachycardia. Saudi J Anaesth 11(3):372–373
pubmed: 28757855
doi: 10.4103/sja.SJA_617_16
pmcid: 28757855
Yoo Y, Lee CS, Kim YC, Moon JY, Finlayson RJ (2019) A randomized comparison between 4, 6 and 8 mL of local anesthetic for ultrasound-guided stellate ganglion block. J Clin Med. 8(9).
Makharita MY, Amr YM, El-Bayoumy Y (2012) Effect of early stellate ganglion blockade for facial pain from acute herpes zoster and incidence of postherpetic neuralgia. Pain Physician 15(6):467–474
pubmed: 23159962
pmcid: 23159962
Park JH, Min YS, Chun SM, Seo KS (2015) Effects of stellate ganglion block on breast cancer-related lymphedema: comparison of various injectates. Pain Physician 18(1):93–99
pubmed: 25675063
pmcid: 25675063
Wulf H, Maier C, Schele HA, Wabbel W (1991) Plasma concentration of bupivacaine after stellate ganglion blockade. Anesth Analg 72(4):546–548
pubmed: 2006745
doi: 10.1213/00000539-199104000-00022
pmcid: 2006745
Lu F, Tian J, Dong J, Zhang K (2019) Tonic-clonic seizure during the ultrasound-guided stellate ganglion block because of an injection into an unrecognized variant vertebral artery: a case report. Medicine (Baltimore) 98(48):e18168
doi: 10.1097/MD.0000000000018168
Kapral S, Krafft P, Gosch M, Fleischmann D, Weinstabl C (1995) Ultrasound imaging for stellate ganglion block: direct visualization of puncture site and local anesthetic spread. A pilot study. Reg Anesth 20(4):323–328
pubmed: 7577781
pmcid: 7577781
Narouze S (2014) Ultrasound-guided stellate ganglion block: safety and efficacy. Curr Pain Headache Rep 18(6):424
pubmed: 24760493
doi: 10.1007/s11916-014-0424-5
pmcid: 24760493
Barha CK, Nagamatsu LS, Liu-Ambrose T (2016) Basics of neuroanatomy and neurophysiology. Handb Clin Neurol 138:53–68
pubmed: 27637952
doi: 10.1016/B978-0-12-802973-2.00004-5
pmcid: 27637952
Pearce JM (2009) Henry Gray's Anatomy. Clin Anat 22(3):291–295
pubmed: 19280653
doi: 10.1002/ca.20775
pmcid: 19280653
Hogan QH, Erickson SJ (1992) MR imaging of the stellate ganglion: normal appearance. AJR Am J Roentgenol 158(3):655–659
pubmed: 1739014
doi: 10.2214/ajr.158.3.1739014
pmcid: 1739014
Raut MS, Maheshwari A (2018) Stellate ganglion block: important weapon in the anesthesiologists’ armamentarium. J Cardiothorac Vasc Anesth 32(2):e36–e37
pubmed: 28625751
doi: 10.1053/j.jvca.2017.03.005
pmcid: 28625751
Takai Y, Yamamoto-Mitani N, Abe Y, Suzuki M (2015) Literature review of pain management for people with chronic pain. Jpn J Nurs Sci 12(3):167–183
pubmed: 25407249
doi: 10.1111/jjns.12065
pmcid: 25407249
Lee MH, Kim KY, Song JH, Jung HJ, Lim HK, Lee DI, Cha YD (2012) Minimal volume of local anesthetic required for an ultrasound-guided SGB. Pain Med 13(11):1381–1388
pubmed: 23013477
doi: 10.1111/j.1526-4637.2012.01495.x
pmcid: 23013477
Kim MK, Yi MS, Park PG, Kang H, Lee JS, Shin HY (2018) Effect of stellate ganglion block on the regional hemodynamics of the upper extremity: a randomized controlled trial. Anesth Analg 126(5):1705–1711
pubmed: 29049072
doi: 10.1213/ANE.0000000000002528
pmcid: 29049072
Erickson SJ, Hogan QH (1993) CT-guided injection of the stellate ganglion: description of technique and efficacy of sympathetic blockade. Radiology. 188(3):707–709
pubmed: 8351337
doi: 10.1148/radiology.188.3.8351337
pmcid: 8351337
Hogan QH, Erickson SJ, Haddox JD, Abram SE (1992) The spread of solutions during stellate ganglion block. Reg Anesth 17(2):78–83
pubmed: 1581263
pmcid: 1581263
Narouze S, Vydyanathan A, Patel N (2007) Ultrasound-guided stellate ganglion block successfully prevented esophageal puncture. Pain Physician 10(6):747–752
pubmed: 17987096
doi: 10.36076/ppj.2007/10/747
pmcid: 17987096
Sdrulla A, Chen G (2016) Minimally invasive procedures for neuropathic pain. Pain Manag 6(2):103–109
pubmed: 26988024
doi: 10.2217/pmt.15.61
pmcid: 26988024
Wang J, Chen Z (2019) Neuromodulation for pain management. Adv Exp Med Biol 1101:207–223
pubmed: 31729677
doi: 10.1007/978-981-13-2050-7_8
pmcid: 31729677
Witt CM, Bolona L, Kinney MO, Moir C, Ackerman MJ, Kapa S, Asirvatham SJ, McLeod CJ (2017) Denervation of the extrinsic cardiac sympathetic nervous system as a treatment modality for arrhythmia. Europace. 19(7):1075–1083
pubmed: 28340164
doi: 10.1093/europace/eux011
pmcid: 28340164
Ouyang R, Li X, Wang R, Zhou Q, Sun Y, Lei E. (2020) Effect of ultrasound-guided right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy: a randomized controlled trial. Rev Bras Anestesiol
De Ferrari GM, Dusi V, Spazzolini C, Bos JM, Abrams DJ, Berul CI et al (2015) Clinical management of catecholaminergic polymorphic ventricular tachycardia: the role of left cardiac sympathetic denervation. Circulation. 131(25):2185–2193
pubmed: 26019152
doi: 10.1161/CIRCULATIONAHA.115.015731
pmcid: 26019152
Yamaguchi N, Yamakawa K, Rajendran PS, Takamiya T, Vaseghi M (2018) Antiarrhythmic effects of vagal nerve stimulation after cardiac sympathetic denervation in the setting of chronic myocardial infarction. Heart Rhythm 15(8):1214–1222
pubmed: 29530832
doi: 10.1016/j.hrthm.2018.03.012
pmcid: 29530832
Xie X, Visweswaran R, Guzman PA, Smith RM, Osborn JW, Tolkacheva EG (2011) The effect of cardiac sympathetic denervation through bilateral stellate ganglionectomy on electrical properties of the heart. Am J Physiol Heart Circ Physiol 301(1):H192–H199
pubmed: 21498778
doi: 10.1152/ajpheart.01149.2010
pmcid: 21498778
Fudim M, Qadri YJ, Waldron NH, Boortz-Marx RL, Ganesh A, Patel CB, Podgoreanu MV, Sun AY, Milano CA, Tong BC, Harpole DH Jr, Mathew JP, Piccini JP (2020) Stellate ganglion blockade for the treatment of refractory ventricular arrhythmias. JACC Clin Electrophysiol 6(5):562–571
pubmed: 32439042
doi: 10.1016/j.jacep.2019.12.017
pmcid: 32439042
Gadhinglajkar S, Sreedhar R, Unnikrishnan M, Namboodiri N (2013) Electrical storm: role of stellate ganglion blockade and anesthetic implications of left cardiac sympathetic denervation. Indian J Anaesth 57(4):397–400
pubmed: 24163457
doi: 10.4103/0019-5049.118568
pmcid: 24163457
Wu CN, Wu XH, Yu DN, Ma WH, Shen CH, Cao Y (2020) A single-dose of stellate ganglion block for the prevention of postoperative dysrhythmias in patients undergoing thoracoscopic surgery for cancer: a randomised controlled double-blind trial. Eur J Anaesthesiol 37(4):323–331
pubmed: 31860606
doi: 10.1097/EJA.0000000000001137
pmcid: 31860606
Kehlet H (1997) Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78(5):606–617
pubmed: 9175983
doi: 10.1093/bja/78.5.606
pmcid: 9175983
Richman JM, Liu SS, Courpas G, Wong R, Rowlingson AJ, McGready J, Cohen SR, Wu CL (2006) Does continuous peripheral nerve block provide superior pain control to opioids? A meta-analysis. Anesth Analg 102(1):248–257
pubmed: 16368838
doi: 10.1213/01.ANE.0000181289.09675.7D
pmcid: 16368838
Sedighinejad A, Haghighi M, Naderi Nabi B, Rahimzadeh P, Mirbolook A, Mardani-Kivi M, Nekufard M, Biazar G (2014) Magnesium sulfate and sufentanil for patient-controlled analgesia in orthopedic surgery. Anesth Pain Med 4(1):e11334
pubmed: 24660152
pmcid: 24660152
McDonnell JG, Finnerty O, Laffey JG (2011) Stellate ganglion blockade for analgesia following upper limb surgery. Anaesthesia. 66(7):611–614
pubmed: 21627622
doi: 10.1111/j.1365-2044.2011.06626.x
pmcid: 21627622
Imani F, Hemati K, Rahimzadeh P, Kazemi MR, Hejazian K (2016) Effectiveness of stellate ganglion block under fuoroscopy or ultrasound guidance in upper extremity CRPS. J Clin Diagn Res. 10(1):Uc09-12.
Kumar N, Thapa D, Gombar S, Ahuja V, Gupta R (2014) Analgesic efficacy of pre-operative stellate ganglion block on postoperative pain relief: a randomised controlled trial. Anaesthesia. 69(9):954–660
pubmed: 25040168
doi: 10.1111/anae.12774
pmcid: 25040168
Jin F, Li XQ, Tan WF, Ma H, Fang B, Tian AY, Lu HW (2018) Effects of ultrasound-guided stellate-ganglion block on sleep and regional cerebral oxygen saturation in patients undergoing breast cancer surgery: a randomized, controlled, double-blinded trial. J Clin Monit Comput 32(5):855–862
pubmed: 29043600
doi: 10.1007/s10877-017-0074-3
pmcid: 29043600
Walid T, Mondher BA, Mohamed Anis L, Mustapha F (2012) A case of Horner's syndrome following ultrasound-guided infraclavicular brachial plexus block. Case Rep Anesthesiol 2012:125346
pubmed: 22957277
pmcid: 22957277
Rodríguez J, Bárcena M, Alvarez J (2003) Restricted infraclavicular distribution of the local anesthetic solution after infraclavicular brachial plexus block. Reg Anesth Pain Med 28(1):33–36
pubmed: 12567341
doi: 10.1053/rapm.2003.50022
pmcid: 12567341
El-Boghdadly K, Chin KJ (2016) Local anesthetic systemic toxicity: continuing professional development. Can J Anaesth 63(3):330–349
pubmed: 26830640
doi: 10.1007/s12630-015-0564-z
pmcid: 26830640
Mahli A, Coskun D, Akcali DT (2002) Aetiology of convulsions due to stellate ganglion block: a review and report of two cases. Eur J Anaesthesiol 19(5):376–380
pubmed: 12095020
doi: 10.1017/S0265021502000613
pmcid: 12095020
Bloc S, Ecoffey C, Dhonneur G (2008) Controlling needle tip progression during ultrasound-guided regional anesthesia using the hydrolocalization technique. Reg Anesth Pain Med 33(4):382–383
pubmed: 18675754
doi: 10.1097/00115550-200807000-00019
pmcid: 18675754
Yeo J, Jeon Y (2015) Effects of stellate ganglion block on sedation as assessed by bispectral index in normal healthy volunteers. Pain Physician 18(2):173–178
pubmed: 25794203
pmcid: 25794203
Jung G, Kim BS, Shin KB, Park KB, Kim SY, Song SO (2011) The optimal volume of 0.2% ropivacaine required for an ultrasound-guided stellate ganglion block. Korean J Anesthesiol 60(3):179–184
pubmed: 21490819
doi: 10.4097/kjae.2011.60.3.179
pmcid: 21490819
Heinig B, Koch A, Wollina U (2018) Palmar hyperhidrosis treated by noninvasive ultrasound stellate ganglion block. Wien Med Wochenschr 168(9-10):250–253
pubmed: 27379849
doi: 10.1007/s10354-016-0468-8
pmcid: 27379849
Woo A, Tharakan L, Vargulescu R (2015) Stellate ganglion block for painful congenital venous malformation of the arm. Pain Pract 15(6):E65–E68
pubmed: 25858167
doi: 10.1111/papr.12296
pmcid: 25858167
Punj J (2019) Multiple bilateral ultrasound-guided stellate ganglion blocks to treat acute vasculitis in a recently diagnosed patient of systemic lupus erythematosus. Indian J Anaesth 63(10):851–855
pubmed: 31649399
doi: 10.4103/ija.IJA_331_19
pmcid: 31649399
Peng K, Zhang J, Chen WR, Liu HY, Ji FH (2017) Ultrasound-guided stellate ganglion block improves gastrointestinal function after thoracolumbar spinal surgery. Clin Ther 39(11):2322–2330
pubmed: 28974305
doi: 10.1016/j.clinthera.2017.09.008
pmcid: 28974305
Bantel C, Trapp S (2011) The role of the autonomic nervous system in acute surgical pain processing - what do we know? Anaesthesia. 66(7):541–544
pubmed: 21627623
doi: 10.1111/j.1365-2044.2011.06791.x
pmcid: 21627623
Hernández-Porras BC, Plancarte-Sánchez R, Alarcón-Barrios S, Sámano-García M (2017) Complex regional pain syndrome: A review. Cir Cir 85(4):366–374
pubmed: 28007291
pmcid: 28007291
Jones GP, Tripathi SS (2014) Successful use of stellate ganglion block and a new centrally acting analgesic with dual mode of action in a resistant temporomandibular joint pain. BMJ Case Rep 2014
Rahimzadeh P, Mahmoudi K, Khodaverdi M, Faiz SHR (2020) Effects of ultrasound guided ganglion stellate blockade on intraoperative and postoperative hemodynamic responses in laparoscopic gynecologic surgery. Wideochir Inne Tech Maloinwazyjne 15(2):351–357
pubmed: 32489497
pmcid: 32489497
Ye M, Zhou HS, Wei Y, Liu F (2021) Inadvertent mental excitement after ultrasound-guided bilateral thoracic paravertebral block: a case report. Ibrain 7(1):28–32 http://www.ibrain.org.cn/front/Allvolumesissues/74.shtml
Thapa D, Dhiman D, Ahuja V, Gombar S, Gupta RK (2018) Tramadol sparing effect of dexmedetomidine as an adjuvant with lignocaine in preoperative stellate ganglion block for postoperative pain relief following upper limb surgeries. Br J Pain 12(1):26–34
pubmed: 29416862
doi: 10.1177/2049463717720788
pmcid: 29416862
Ghai A, Kaushik T, Kundu ZS, Wadhera S, Wadhera R (2016) Evaluation of new approach to ultrasound guided stellate ganglion block. Saudi J Anaesth 10(2):161–167
pubmed: 27051366
doi: 10.4103/1658-354X.168815
pmcid: 27051366
Pu S, Chen J, Gu X, Xu Y, Wu J, Lv Y, du D (2018) Effects of ultrasound-guided stellate ganglion block on cervical vascular blood flow: study protocol for a randomized controlled trial. Trials. 19(1):426
pubmed: 30086776
doi: 10.1186/s13063-018-2736-y
pmcid: 30086776
Gillespie R, Shishani Y, Streit J, Wanner JP, McCrum C, Syed T, Haas A, Gobezie R (2012) The safety of controlled hypotension for shoulder arthroscopy in the beach-chair position. J Bone Joint Surg Am 94(14):1284–1290
pubmed: 22810398
doi: 10.2106/JBJS.J.01550
pmcid: 22810398
Tran A, Yates J, Lau A, Lampron J, Matar M (2018) Permissive hypotension versus conventional resuscitation strategies in adult trauma patients with hemorrhagic shock: a systematic review and meta-analysis of randomized controlled trials. J Trauma Acute Care Surg 84(5):802–808
pubmed: 29370058
doi: 10.1097/TA.0000000000001816
pmcid: 29370058