Stellate Ganglion Block (cervical sympathetic chain block) with ultrasound guidance; in-plane or out of plane?

Assuming one starts at C6 or C7, Seems to me using an out of plane approach makes a lot of sense, for the following reasons: 1. easier to avoid vessels 2. If standing at head, and needle trajectory is from cranial to caudal trajectory, could push meds further caudal to stellate ganglion. thoughts and preferences?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums

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Conditions:   Pain, Chronic;   Sympathetic Disorder;   Ultrasound Therapy Intervention:   Device: ultrasound and CT Sponsor:   Second Affiliated Hospital, School of Medicine, Zhejiang University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusion: US-guided ganglion impar block is technically feasible and safe technique. USG can be used to locate sacrococcygeal junction (SCJ) and facilitate the performance of ganglion impar block. The efficacy and safety of the US-guided ganglion impar blockades needs a proper evaluation in the randomized controlled trials.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Publication date: Available online 9 July 2018Source: The Egyptian Journal of Radiology and Nuclear MedicineAuthor(s): Sarah Mamdouh Osman, Ikram Hamed Mahmoud, Rafaat Mahfouz Riad, Mohamed Hamed ShaabanAbstractAim of workTo study the efficacy of visceral neurolytic blocks in the abdominopelvic cancer when guided by ultrasound/CT.Patients and methods50 patients were selected randomly and prospectively from the pain clinic in NCI suffering from moderate-severe visceral pain (visual analogue score ≥ 4) due to advanced abdominal and pelvic malignancy. Patients were divided into celiac plexus block-CPB (n = 25), superio...
Source: The Egyptian Journal of Radiology and Nuclear Medicine - Category: Nuclear Medicine Source Type: research
Abstract BACKGROUND: Fluoroscopy (FL)-guided lumbar sympathetic ganglion block (LSGB) is widely performed to diagnose and manage various diseases associated with sympathetically maintained pain. Recently, numerous ultrasound (US)-assisted procedures in pain medicine have been attempted, showing an advantage of low radiation exposure. This randomized, prospective trial compared the procedural outcomes and complications between FL-guided and US-assisted LSGBs. METHODS: Fifty LSGBs were randomly divided into 2 groups: FL-guided (FL group) or US-assisted (US group) LSGB group. Both groups received FL-guided or US...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
In this report, we describe a successful case of a US-guided LSGB without major complications. We expect that US-guided LSGBs can be implemented and furnished in the daily outpatient clinical setting by highly trained pain physicians. PMID: 28119774 [PubMed - in process]
Source: Korean Journal of Pain - Category: Anesthesiology Tags: Korean J Pain Source Type: research
Abstract: The stellate ganglion is a common target to manage neuropathic pain in the upper extremities. However, the effect duration of a single stellate ganglion block is often temporary. To overcome the short-term effects of a single sympathetic block, pulsed radiofrequency (PRF) can be applied. The aim of the present study was to investigate the efficacy of PRF on the cervical sympathetic chain under ultrasound guidance for complex regional pain syndrome (CRPS). Twelve CRPS patients who underwent PRF on the cervical sympathetic chain were enrolled in this retrospective analysis. Under ultrasound guidance, PRF was perfo...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
This study investigated the use of noninvasive SGB for managing neuropathic pain or other disorders associated with sympathetic hyperactivity. Materials and MethodsWe performed a comprehensive search of the following online databases: Medline, PubMed, Excerpta Medica Database, Cochrane Library Database, Ovid MEDLINE, Europe PubMed Central, EBSCOhost Research Databases, CINAHL, ProQuest Research Library, Physiotherapy Evidence Database, WorldWideScience, BIOSIS, and Google Scholar. We identified and included quasi-randomized or randomized controlled trials reporting the efficacy of SGB performed using therapeutic ultrasound...
Source: PLoS One - Category: Biomedical Science Authors: Source Type: research
A 47-year-old male with a 4-year history of complex regional pain syndrome of the right upper extremity, the result of a motor vehicle accident, presented for stellate ganglion diagnostic/therapeutic blockade. Fluoroscopic imaging and ultrasound guidance were used to place the needle at the anterior base of the uncinate process of C7, and anterolateral to the longus colli muscle. After negative aspiration, 2 mL of contrast was then injected under fluoroscopy to identify any inadvertent intravascular injection.
Source: The Journal of Pain - Category: Materials Science Authors: Tags: F21 Sympathetic Blocks Source Type: research
Conclusion: There is a significant variation in the anatomy of stellate ganglion at the level of C 6 and C 7 . Ultrasound guided lateral approach increases the efficacy of SGB by deposition of drug subfascially with real-time imaging.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
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