Left Stellate Ganglion Blockade for Refractory Ventricular Arrhythmias With Aconitine Poisoning: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
01 Feb 2023
01 Feb 2023
Historique:
entrez:
22
2
2023
pubmed:
23
2
2023
medline:
25
2
2023
Statut:
epublish
Résumé
Aconitine poisoning causes refractory ventricular arrhythmias (VAs). In a 20-year-old man, VAs of unknown etiology did not respond to drugs and electrical defibrillation. However, left stellate ganglion blockade (SGB) dramatically decreased arrhythmias without complications. At a later date, we found that refractory VAs were caused by aconitine poisoning. Left SGB is effective for treating refractory VAs with aconitine poisoning and can be easily performed with few complications for VAs of unknown etiology even if patients are receiving anticoagulant therapy. Also, left SGB can be performed to diagnose refractory VAs.
Identifiants
pubmed: 36805572
doi: 10.1213/XAA.0000000000001666
pii: 02054229-202302000-00009
doi:
Substances chimiques
Aconitine
X8YN71D5WC
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01666Informations de copyright
Copyright © 2023 International Anesthesia Research Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Gao X, Hu J, Zhang X, Zuo Y, Wang Y, Zhu S. Research progress of aconitine toxicity and forensic analysis of aconitine poisoning. Forensic Sci Res. 2020;5:25–31.
Fudim M, Qadri YJ, Waldron NH, et al. Stellate ganglion blockade for the treatment of refractory ventricular arrhythmias. JACC Clin Electrophysiol. 2020;6:562–571.
Chan TY. Aconite poisoning. Clin Toxicol (Phila). 2009;47:279–285.
Coulson JM, Caparrotta TM, Thompson JP. The management of ventricular dysrhythmia in aconite poisoning. Clin Toxicol (Phila). 2017;55:313–321.
Sheth S, Tan EC, Tan HH, Tay L. Herb-induced cardiotoxicity from accidental aconitine overdose. Singapore Med J. 2015;56:e116–e119.
Nguyen H, Vaseghi M. Sympathetic denervation for treatment of ventricular arrhythmias. J Atr Fibrillation. 2020;13:50–57.
Hayase J, Patel J, Narayan SM, Krummen DE. Percutaneous stellate ganglion block suppressing VT and VF in a patient refractory to VT ablation. J Cardiovasc Electrophysiol. 2013;24:9261–9928.
Ganesh A, Qadri YJ, Boortz-Marx RL, et al. Stellate ganglion blockade: an intervention for the management of ventricular arrhythmias. Curr Hypertens Rep. 2020;22:100.
Tian Y, Wittwer ED, Kapa S, et al. Effective use of percutaneous stellate ganglion blockade in patients with electrical storm. Circ Arrhythm Electrophysiol. 2019;12:e007118.
Narouze S. Ultrasound-guided stellate ganglion block: safety and efficacy. Curr Pain Headache Rep. 2014;18:424.
Kim WJ, Park HS, Yi MS, Koo GH, Shin HY. Evaluation of lung function and clinical features of the ultrasound-guided stellate ganglion block with 2 different concentrations of a local anesthetic: a randomized controlled trial. Anesth Analg. 2017;124:1311–1316.