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    Stellate ganglion blockade for analgesia following upper limb surgery.

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    Authors
    McDonnell, J G
    Finnerty, O
    Laffey, J G
    Affiliation
    Department of Anaesthesia and Intensive Care Medicine, Galway University, Hospital, Galway, Ireland.
    Issue Date
    2012-01-31T16:35:48Z
    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
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    Citation
    Anaesthesia. 2011 Jul;66(7):611-4. doi: 10.1111/j.1365-2044.2011.06626.x. Epub, 2011 May 31.
    Journal
    Anaesthesia
    URI
    http://hdl.handle.net/10147/206270
    DOI
    10.1111/j.1365-2044.2011.06626.x
    PubMed ID
    21627622
    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)
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1365-2044.2011.06626.x
    Scopus Count
    Collections
    Galway University Hospitals

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