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KEY FACTS
Terminology
Preprocedure
Procedure
Outcomes
TERMINOLOGY
Abbreviations
- Stellate ganglion (SG)
- SG block (SGB)
Definitions
- SG: Sympathetic ganglion is located on either side of root of neck, and it is fusion of inferior cervical ganglion with 1st (and sometimes also 2nd) thoracic ganglion
- Anterior structures to SG
- Subcutaneous tissue
- Sternocleidomastoid muscle
- Subclavian artery
- Carotid sheath
- Posterior structures to SG
- Anterior scalene muscle
- Brachial plexus
- Neck of 1st rib
- C7 transverse process
- Vertebral artery
- Longus colli muscle
- Medial structures to SG
- Prevertebral fascia
- C7 vertebral body
- Esophagus
- Thoracic duct
- Lateral structures to SG
- Superior intercostal vein
- Superior intercostal artery
- Ventral ramus of 1st thoracic nerve
- Inferior structures to SG
- Pleura over apex of lungs
- Anterior structures to SG
- SGB: Neural blockade of sympathetic chain at cervical level resulting in sympathectomy of upper extremity of ipsilateral targeted chain
- Produces analgesia for sympathetic mediated pain with resultant vasodilation
- SG: Sympathetic ganglion is located on either side of root of neck, and it is fusion of inferior cervical ganglion with 1st (and sometimes also 2nd) thoracic ganglion
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Complications
Selected References
- Anciaux DJ et al: Stellate ganglion blockade for management of electrical storm post myocardial infarction. J Clin Anesth. 58:72, 2019
- Goel V et al: Complications associated with stellate ganglion nerve block: a systematic review. Reg Anesth Pain Med. ePub, 2019
- Mehrotra M et al: Neuroanatomy, Stellate Ganglion 2019
- Piraccini E et al: Stellate Ganglion Blocks 2019
- Chang KV et al: Ultrasound-guided interventions of the cervical spine and nerves. Phys Med Rehabil Clin N Am. 29(1):93-103, 2018
- Rahimi M et al: The effect of stellate ganglion block on the function of arteriovenous fistulas for hemodialysis: a randomized trial. J Vasc Access. 1129729818809907, 2018
- Sekhri NK et al: Radiofrequency ablation of the stellate ganglion for management of acute digital ischemia: a case report. A A Pract. 11(7):189-92, 2018
- Wang D: Image guidance technologies for interventional pain procedures: ultrasound, fluoroscopy, and CT. Curr Pain Headache Rep. 22(1):6, 2018
- Birklein F et al: Complex regional pain syndrome-up-to-date. Pain Rep. 2(6):e624, 2017
- Fudim M et al: Stellate ganglion blockade for the treatment of refractory ventricular arrhythmias: a systematic review and meta-analysis. J Cardiovasc Electrophysiol. 28(12):1460-7, 2017
- Chang KV et al: Sonographic nerve tracking in the cervical region: a pictorial essay and video demonstration. Am J Phys Med Rehabil. 95(11):862-70, 2016
- Imani F et al: Effectiveness of stellate ganglion block under fuoroscopy or ultrasound guidance in upper extremity CRPS. J Clin Diagn Res. 10(1):UC09-12, 2016
- Duggappa DR et al: Anaesthesia for patient with chronic obstructive pulmonary disease. Indian J Anaesth. 59(9):574-83, 2015
- Wei K et al: Ultrasound-guided stellate ganglion blocks combined with pharmacological and occupational therapy in complex regional pain syndrome (CRPS): a pilot case series ad interim. Pain Med. 15(12):2120-7, 2014
- Bhatia A et al: Evaluation of sonoanatomy relevant to performing stellate ganglion blocks using anterior and lateral simulated approaches: an observational study. Can J Anaesth. 59(11):1040-7, 2012
- Feigl GC et al: Comparison of different injectate volumes for stellate ganglion block: an anatomic and radiologic study. Reg Anesth Pain Med. 32(3):203-8, 2007
- Kakazu CZ et al: Stellate ganglion blockade for acute postoperative upper extremity pain. Anesthesiology. 102(6):1288-9; author reply 1289, 2005
- Long TR et al: Perioperative interscalene blockade: an overview of its history and current clinical use. J Clin Anesth. 14(7):546-56, 2002
- Fields H et al: Peripheral neuropathic pain: an approach to management. In: Wall PD et al: Textbook of Pain. London: Churchill Livingstone. 1523–9, 1999
- Christie JM et al: Computerized axial tomography to define the distribution of solution after stellate ganglion nerve block. J Clin Anesth. 7(4):306-11, 1995
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
Outcomes
TERMINOLOGY
Abbreviations
- Stellate ganglion (SG)
- SG block (SGB)
Definitions
- SG: Sympathetic ganglion is located on either side of root of neck, and it is fusion of inferior cervical ganglion with 1st (and sometimes also 2nd) thoracic ganglion
- Anterior structures to SG
- Subcutaneous tissue
- Sternocleidomastoid muscle
- Subclavian artery
- Carotid sheath
- Posterior structures to SG
- Anterior scalene muscle
- Brachial plexus
- Neck of 1st rib
- C7 transverse process
- Vertebral artery
- Longus colli muscle
- Medial structures to SG
- Prevertebral fascia
- C7 vertebral body
- Esophagus
- Thoracic duct
- Lateral structures to SG
- Superior intercostal vein
- Superior intercostal artery
- Ventral ramus of 1st thoracic nerve
- Inferior structures to SG
- Pleura over apex of lungs
- Anterior structures to SG
- SGB: Neural blockade of sympathetic chain at cervical level resulting in sympathectomy of upper extremity of ipsilateral targeted chain
- Produces analgesia for sympathetic mediated pain with resultant vasodilation
- SG: Sympathetic ganglion is located on either side of root of neck, and it is fusion of inferior cervical ganglion with 1st (and sometimes also 2nd) thoracic ganglion
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Complications
Selected References
- Anciaux DJ et al: Stellate ganglion blockade for management of electrical storm post myocardial infarction. J Clin Anesth. 58:72, 2019
- Goel V et al: Complications associated with stellate ganglion nerve block: a systematic review. Reg Anesth Pain Med. ePub, 2019
- Mehrotra M et al: Neuroanatomy, Stellate Ganglion 2019
- Piraccini E et al: Stellate Ganglion Blocks 2019
- Chang KV et al: Ultrasound-guided interventions of the cervical spine and nerves. Phys Med Rehabil Clin N Am. 29(1):93-103, 2018
- Rahimi M et al: The effect of stellate ganglion block on the function of arteriovenous fistulas for hemodialysis: a randomized trial. J Vasc Access. 1129729818809907, 2018
- Sekhri NK et al: Radiofrequency ablation of the stellate ganglion for management of acute digital ischemia: a case report. A A Pract. 11(7):189-92, 2018
- Wang D: Image guidance technologies for interventional pain procedures: ultrasound, fluoroscopy, and CT. Curr Pain Headache Rep. 22(1):6, 2018
- Birklein F et al: Complex regional pain syndrome-up-to-date. Pain Rep. 2(6):e624, 2017
- Fudim M et al: Stellate ganglion blockade for the treatment of refractory ventricular arrhythmias: a systematic review and meta-analysis. J Cardiovasc Electrophysiol. 28(12):1460-7, 2017
- Chang KV et al: Sonographic nerve tracking in the cervical region: a pictorial essay and video demonstration. Am J Phys Med Rehabil. 95(11):862-70, 2016
- Imani F et al: Effectiveness of stellate ganglion block under fuoroscopy or ultrasound guidance in upper extremity CRPS. J Clin Diagn Res. 10(1):UC09-12, 2016
- Duggappa DR et al: Anaesthesia for patient with chronic obstructive pulmonary disease. Indian J Anaesth. 59(9):574-83, 2015
- Wei K et al: Ultrasound-guided stellate ganglion blocks combined with pharmacological and occupational therapy in complex regional pain syndrome (CRPS): a pilot case series ad interim. Pain Med. 15(12):2120-7, 2014
- Bhatia A et al: Evaluation of sonoanatomy relevant to performing stellate ganglion blocks using anterior and lateral simulated approaches: an observational study. Can J Anaesth. 59(11):1040-7, 2012
- Feigl GC et al: Comparison of different injectate volumes for stellate ganglion block: an anatomic and radiologic study. Reg Anesth Pain Med. 32(3):203-8, 2007
- Kakazu CZ et al: Stellate ganglion blockade for acute postoperative upper extremity pain. Anesthesiology. 102(6):1288-9; author reply 1289, 2005
- Long TR et al: Perioperative interscalene blockade: an overview of its history and current clinical use. J Clin Anesth. 14(7):546-56, 2002
- Fields H et al: Peripheral neuropathic pain: an approach to management. In: Wall PD et al: Textbook of Pain. London: Churchill Livingstone. 1523–9, 1999
- Christie JM et al: Computerized axial tomography to define the distribution of solution after stellate ganglion nerve block. J Clin Anesth. 7(4):306-11, 1995
