A Case Report of Ultrasound Guided Stellate Ganglion Block for Peripheral Vascular Disease in Critical Care
Abstract
72 year old female patient was in critical care secondary to acute coronary syndrome and acute cerebovascular event. Secondary to patient’s significant blood pressure alterations, she was monitorized with radial artery cannulation for invasive blood pressure follow up. During the follow up patient’s right hand circulation deteriorated. In terms of this kind of acute ischemia; anticoagulants, vasodilators and sympathetic blockage are altenative treatment methods. As an example of upper extremity main sympathetic blockage; stellate ganglion block was performed with ultrasound guidance. In this case report we defined the beneficial effects of stellate ganglion block and complication protected effects of ultrasound in critical care.
References
- 1. Tüzüner F. Anestezi Yoğun Bakım Ağrı 2010;18:11.
- 2. Tiru B, et al. Radial artery cannulation: A Review Article. J Anesth Clin Res 2012:3:5.
- 3. Tütüncü AÇ, Kendigelen P, Altıntaş F, Kaya G. Use of Continuous brachial plexus blockade for treatment of accidental intra-arterial injection J Emerg Med Case Rep 2016.
- 4. Ghouri AF, Mading W, Probaker K. Accidental intraarterial drug injections via intravascüler catheters placed on the dorsum of the hand. Anesth Analg 2002;95(4):487–91.
- 5. Sen Suriya, Chini EN, Brown MJ. Complications after unintentional intraarterial injections of drugs: Risks, outcomes and manegement strategies Mayo Clin Proc 2005;80:783–95.
- 6. Kessel G, Barker I. Leg ischemia in an infant following accidental intraarterial administration of atracurium treated with caudal anethesia. Anesthesia 1996;51:1154–56.
- 7. Özdinç OZ, Evren Şahin K, Göktay A, Onay M, Tarcan E Yanlışlıkla intra-arteriyel atrakuryum enjeksiyonu yapılan pediatrik olgu. Ege Tıp Derg 2013;52(4):211–213.
- 8. Feigl GC, Rosmarin W, Stezl A, et al. Comprasion of different injectate volumes for stellate ganglion block: an anatomic and radiologic study. Reg Anesth Pain Med 2007;32(3):203–208.
Yoğun Bakımda Periferik Vasküler Hastalık için Ultrason Eşliğinde Uygulanan Stellat Ganglion Bloğu Olgu Sunumu
Abstract
72 yaşındaki bayan hasta akut koroner sendrom ve akut serebrovasküler olay nedeniyle yoğun bakımda yatmaktaydı. Ciddi kan basıncı oynamaları olan hasta invaziv kan basıncı takibi için radyal arter kanülasyonu ile monitorize edilmişti. Takipleri sırasında sağ el dolaşımında bozulma tespit edildi. Antikoagülanlar, vasodilatör ilaçlar ya da sempatik bloklar bu tarzda oluşan akut iskemilerde kullanılan tedavi metodlarıdır. Üst ekstremitede kullanlan sempatik bloklara örnek olarak bu hastada ultrason eşliğinde stellat ganglion bloğu uygulanmıştır. Bu olgu sunumunda stellat ganglion bloğunun yoğun bakımdaki faydalarından ve ultrasonun işlem komplikasyonlarını azaltıcı etkilerinden bahsetmek istedik.
References
- 1. Tüzüner F. Anestezi Yoğun Bakım Ağrı 2010;18:11.
- 2. Tiru B, et al. Radial artery cannulation: A Review Article. J Anesth Clin Res 2012:3:5.
- 3. Tütüncü AÇ, Kendigelen P, Altıntaş F, Kaya G. Use of Continuous brachial plexus blockade for treatment of accidental intra-arterial injection J Emerg Med Case Rep 2016.
- 4. Ghouri AF, Mading W, Probaker K. Accidental intraarterial drug injections via intravascüler catheters placed on the dorsum of the hand. Anesth Analg 2002;95(4):487–91.
- 5. Sen Suriya, Chini EN, Brown MJ. Complications after unintentional intraarterial injections of drugs: Risks, outcomes and manegement strategies Mayo Clin Proc 2005;80:783–95.
- 6. Kessel G, Barker I. Leg ischemia in an infant following accidental intraarterial administration of atracurium treated with caudal anethesia. Anesthesia 1996;51:1154–56.
- 7. Özdinç OZ, Evren Şahin K, Göktay A, Onay M, Tarcan E Yanlışlıkla intra-arteriyel atrakuryum enjeksiyonu yapılan pediatrik olgu. Ege Tıp Derg 2013;52(4):211–213.
- 8. Feigl GC, Rosmarin W, Stezl A, et al. Comprasion of different injectate volumes for stellate ganglion block: an anatomic and radiologic study. Reg Anesth Pain Med 2007;32(3):203–208.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 1, 2017 |
| Published in Issue | Year 2017 Yıl: 2017 Sayı: 3 |