link
Bookmarks
Stellate Ganglion Blocks
Daewoong Lee, MD; Colin J. McCarthy, MB, BCh, BAO, MRCSI, FFR (RCSI)
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe

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
            • 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

          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

                              1. Anciaux DJ et al: Stellate ganglion blockade for management of electrical storm post myocardial infarction. J Clin Anesth. 58:72, 2019
                              2. Goel V et al: Complications associated with stellate ganglion nerve block: a systematic review. Reg Anesth Pain Med. ePub, 2019
                              3. Mehrotra M et al: Neuroanatomy, Stellate Ganglion 2019
                              4. Piraccini E et al: Stellate Ganglion Blocks 2019
                              5. Chang KV et al: Ultrasound-guided interventions of the cervical spine and nerves. Phys Med Rehabil Clin N Am. 29(1):93-103, 2018
                              6. 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
                              7. 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
                              8. Wang D: Image guidance technologies for interventional pain procedures: ultrasound, fluoroscopy, and CT. Curr Pain Headache Rep. 22(1):6, 2018
                              9. Birklein F et al: Complex regional pain syndrome-up-to-date. Pain Rep. 2(6):e624, 2017
                              10. 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
                              11. 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
                              12. 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
                              13. Duggappa DR et al: Anaesthesia for patient with chronic obstructive pulmonary disease. Indian J Anaesth. 59(9):574-83, 2015
                              14. 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
                              15. 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
                              16. 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
                              17. Kakazu CZ et al: Stellate ganglion blockade for acute postoperative upper extremity pain. Anesthesiology. 102(6):1288-9; author reply 1289, 2005
                              18. Long TR et al: Perioperative interscalene blockade: an overview of its history and current clinical use. J Clin Anesth. 14(7):546-56, 2002
                              19. 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
                              20. 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
                              Related Anatomy
                              Loading...
                              Related Differential Diagnoses
                              Loading...
                              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
                                        • 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

                                      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

                                                          1. Anciaux DJ et al: Stellate ganglion blockade for management of electrical storm post myocardial infarction. J Clin Anesth. 58:72, 2019
                                                          2. Goel V et al: Complications associated with stellate ganglion nerve block: a systematic review. Reg Anesth Pain Med. ePub, 2019
                                                          3. Mehrotra M et al: Neuroanatomy, Stellate Ganglion 2019
                                                          4. Piraccini E et al: Stellate Ganglion Blocks 2019
                                                          5. Chang KV et al: Ultrasound-guided interventions of the cervical spine and nerves. Phys Med Rehabil Clin N Am. 29(1):93-103, 2018
                                                          6. 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
                                                          7. 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
                                                          8. Wang D: Image guidance technologies for interventional pain procedures: ultrasound, fluoroscopy, and CT. Curr Pain Headache Rep. 22(1):6, 2018
                                                          9. Birklein F et al: Complex regional pain syndrome-up-to-date. Pain Rep. 2(6):e624, 2017
                                                          10. 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
                                                          11. 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
                                                          12. 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
                                                          13. Duggappa DR et al: Anaesthesia for patient with chronic obstructive pulmonary disease. Indian J Anaesth. 59(9):574-83, 2015
                                                          14. 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
                                                          15. 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
                                                          16. 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
                                                          17. Kakazu CZ et al: Stellate ganglion blockade for acute postoperative upper extremity pain. Anesthesiology. 102(6):1288-9; author reply 1289, 2005
                                                          18. Long TR et al: Perioperative interscalene blockade: an overview of its history and current clinical use. J Clin Anesth. 14(7):546-56, 2002
                                                          19. 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
                                                          20. 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