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. 2011 Jan;55(1):52-6.
doi: 10.4103/0019-5049.76601.

Revalidation of a modified and safe approach of stellate ganglion block

Ashok Jadon  1
Affiliations

Revalidation of a modified and safe approach of stellate ganglion block

Ashok Jadon. Indian J Anaesth. 2011 Jan.

Abstract

Stellate ganglion block (SGB) is very effective in management of chronic regional pain syndrome (CRPS-1). However, serious complication may occur due to accidental intravascular (intra-arterial) injection of local anaesthetic agents. Abdi and others, has suggested a modified technique in which fluoroscopy-guided block is given at the junction of uncinate process and body of vertebra at C7 level. In this approach vascular structures remain away from the trajectory of needle and thus avoid accidental vascular injection. We have used this technique of SGB in nine patients who were treated for CRPS-I. The blocks were effective in all the patients all the time without any vascular or other serious complication.

Keywords: CRPS-I; modified technique; stellate ganglion block.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1a
Figure 1a
Neck extended and rotated to opposite side
Figure 1b
Figure 1b
C-arm is rotated in opposite direction of head turn
Figure 1c
Figure 1c
X-ray image shows uncinate process of C7 and intervertebral foramina
Figure 2a
Figure 2a
spinal needle at uncinate process of C7 left
Figure 2b
Figure 2b
Contrast spreading up and down
Figure 2c
Figure 2c
Contrast spreading up to head of 1st rib
See this image and copyright information in PMC

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