Stellate ganglion blockade for analgesia following upper limb surgery.
McDonnell, J G Finnerty, O Laffey, J G
McDonnell, J G
Finnerty, O
Laffey, J G
Author
Advisors
Editors
Other Contributors
Date
2012-01-31T16:35:48Z
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adult
Aged
Analgesics, Opioid/administration & dosage
Autonomic Nerve Block/*methods
Drug Administration Schedule
Female
Fracture Fixation, Internal/methods
Fractures, Comminuted/radiography/surgery
Humans
Humeral Fractures/radiography/*surgery
Male
Morphine/administration & dosage
Pain Measurement/methods
Pain, Postoperative/*prevention & control
*Stellate Ganglion/ultrasonography
Ultrasonography, Interventional/methods
Aged
Analgesics, Opioid/administration & dosage
Autonomic Nerve Block/*methods
Drug Administration Schedule
Female
Fracture Fixation, Internal/methods
Fractures, Comminuted/radiography/surgery
Humans
Humeral Fractures/radiography/*surgery
Male
Morphine/administration & dosage
Pain Measurement/methods
Pain, Postoperative/*prevention & control
*Stellate Ganglion/ultrasonography
Ultrasonography, Interventional/methods
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
Abstract
We report the successful use of a stellate ganglion block as part of a multi-modal postoperative analgesic regimen. Four patients scheduled for orthopaedic surgery following upper limb trauma underwent blockade of the stellate ganglion pre-operatively under ultrasound guidance. Patients reported excellent postoperative analgesia, with postoperative VAS pain scores between 0 and 2, and consumption of morphine in the first 24 h ranging from 0 to 14 mg. While these are preliminary findings, and must be confirmed in a clinical trial, they highlight the potential for stellate ganglion blockade to provide analgesia following major upper limb surgery.
Language
eng
ISSN
1365-2044 (Electronic)
0003-2409 (Linking)
0003-2409 (Linking)
eISSN
ISBN
DOI
10.1111/j.1365-2044.2011.06626.x
PMID
21627622