CT-guided injection of the stellate ganglion: description of technique and efficacy of sympathetic blockade. Radiology 1993 Sep;188(3):707-9
Date
09/01/1993Pubmed ID
8351337DOI
10.1148/radiology.188.3.8351337Scopus ID
2-s2.0-0027265565 (requires institutional sign-in at Scopus site) 85 CitationsAbstract
Stellate ganglion blockade, typically performed by using palpable osseous landmarks, is an accepted method in the diagnosis and treatment of sympathetically maintained pain and other conditions. The authors present the results of stellate ganglion injection performed with computed tomographic (CT) guidance. Thirteen CT-guided procedures were performed in seven patients. Lidocaine, bupivacaine, and buprenorphine were used to achieve the blockade. Successful blocks were achieved in all 13 cases as evidenced by production of Horner syndrome and ipsilateral hand temperature elevations. The average ipsilateral and contralateral hand temperature changes following the procedure were 7.5 degrees C and 0.5 degrees C. The ipsilateral hand temperature changes and the differences between the ipsilateral and contralateral hand temperature changes exceeded 1.5 degrees C in every case. Five patients preferred the CT-guided procedure over the conventional technique, and two patients noted no substantial difference between the approaches. With the CT-guided technique, a highly effective sympathetic block is achieved with a substantially reduced volume of anesthetic compared with the conventional approach.
Author List
Erickson SJ, Hogan QHAuthors
Scott J. Erickson MD Professor in the Radiology department at Medical College of WisconsinQuinn H. Hogan MD Professor in the Anesthesiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAutonomic Nerve Block
Bupivacaine
Buprenorphine
Chronic Disease
Female
Humans
Injections
Lidocaine
Male
Middle Aged
Pain Management
Radiography, Interventional
Stellate Ganglion
Tomography, X-Ray Computed
