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Evaluation Of Lung Function And Clinical Features Of The Ultrasound-Guided Stellate Ganglion Block With 2 Different Concentrations Of A Local Anesthetic: A Randomized Controlled Trial

W. Kim, H. S. Park, Myung Sub Yi, Gill-Hoi Koo, H. Shin
Published 2017 · Medicine

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BACKGROUND: One possible complication of stellate ganglion block (SGB) is respiratory compromise. No study has yet addressed the comparison of its effect on lung function and clinical features, including Horner’s syndrome, changes in temperature, sensory and motor functions, and adverse events of lower versus higher concentrations (LC and HC, respectively) of local anesthetics in an ultrasound-guided SGB. METHODS: Fifty patients were randomized into 1 of 2 groups: the LC group (5 mL of 0.5% mepivacaine) and the HC group (5 mL of 1% mepivacaine). One anesthesiologist performed a C6- SGB under ultrasound guidance. Our primary objective was to compare LC and HC of a local anesthetic in terms of its effect on lung function, and the secondary objective was to compare the clinical features between LC and HC of a local anesthetic. Lung function was compared between the 2 groups using the Mann-Whitney U test. RESULTS: The forced vital capacity at 20 minutes post-SGB was not significantly different between the HC and the LC groups (P = .360); the median difference (95% confidence intervals [CI]) was 1 (−1 to 8). Other parameters of lung function were comparable with the forced vital capacity. Patients in the HC group had significantly greater sensory changes than those in the LC group (% decrease compared with the unblocked side); 95.4 ± 2.1 (CI: 91.11–99.73) vs 87.3 ± 3.5 (CI: 80.12–94.49). CONCLUSIONS: Lung function between the LC and HC groups after SGB did not differ significantly. Clinical features between the 2 groups also did not differ clinically, except that patients in the HC group had significantly greater sensory loss in the C6 dermatomes.
This paper references
World Forum for Spine Research: the intervertebral disc. Proceedings of the first Japanese meeting. Kyoto, Japan. January 23-26, 2008.
THe inTeRVeRTeBRAL DisC (2008)
Stellate ganglion block in Bell's Palsy.
A. Sharma (1965)
10.1007/s00586-008-0742-6
World Forum for Spine Research: The intervertebral disc
K. Cheung (2008)
10.1378/chest.08-1541
Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values.
A. Boussuges (2009)
10.1213/00000539-198504000-00008
Sign of Complete Sympathetic Blockade: Sweat Test or Sympathogalvanic Response?
H. Benzon (1985)
Minimal Volume of Local Anesthetic for Successful Stellate Ganglion Block
H. Lee (1995)
10.1080/02770900802660949
The Effect of Thoracosopic Thoracic Sympathetomy on Pulmonary Function and Bronchial Hyperresponsiveness
Y. D. Kim (2009)
10.1016/J.RAPM.2008.04.004
An Ultrasound Study of the Phrenic Nerve in the Posterior Cervical Triangle: Implications for the Interscalene Brachial Plexus Block
J. Kessler (2008)
Minimum Effective Concentration of Bupivacaine in Ultrasound-Guided Femoral Nerve Block after Arthroscopic Knee Meniscectomy: A Randomized, Double-Blind, Controlled Trial.
Ed Carlos Rey Moura (2016)
10.1111/j.1365-2044.2011.06626.x
Stellate ganglion blockade for analgesia following upper limb surgery
J. Mcdonnell (2011)
10.1097/AAP.0b013e3181de12d2
Transient Cough Attacks After Right Stellate Ganglion Block
Ş. Atıcı (2009)
10.1007/s00167-015-3667-8
Analgesic efficacy of two interscalene blocks and one cervical epidural block in arthroscopic rotator cuff repair
Jae-Yoon Kim (2015)
Effect of Stellate Ganglion Block Using 0.2% Ropivacaine
Y. W. Cho (2000)
10.1136/rapm-00115550-199520040-00008
Ultrasound Imaging for Stellate Ganglion Block: Direct Visualization of Puncture Site and Local Anesthetic Spread: A Pilot Study
S. Kapral (1994)
10.1016/S1098-7339(98)90053-0
The relative increase in skin temperature after stellate ganglion block is predictive of a complete sympathectomy of the hand*1
R. Stevens (1998)
10.1152/JAPPL.1978.44.5.718
Respiratory inhibition with sympathetic afferent stimulation in the canine and primate.
D. Kostreva (1978)
10.1002/0471667196.ESS0954.PUB2
Hodges—Lehmann Estimators
J. Hodges (2004)
10.1113/jphysiol.1986.sp016218
Discharge patterns of cervical sympathetic preganglionic neurones related to central respiratory drive in the rat.
M. Gilbey (1986)
Changes of Plasma Lidocaine Concentrations after Stellate Ganglion Block according to Volume-changes of 1% Lidocaine
S. Song (2001)
10.1097/00115550-199924030-00024
The relative increase in skin temperature after stellate ganglion block is predictive of a complete sympathectomy of the hand.
W. Ackerman (1999)
Cervical sympathetic and stellate ganglion blocks.
M. Elias (2000)
10.1097/AAP.0b013e3181b494de
Development and Validation of a New Technique for Ultrasound-Guided Stellate Ganglion Block
M. Gofeld (2009)
10.2214/AJR.158.3.1739014
MR imaging of the stellate ganglion: normal appearance.
Q. Hogan (1992)
10.1136/RAPM-00115550-198611010-00008
Temperature Increases after Complete Sympathetic Blockade
H. Benzon (1986)
10.1016/J.JCLINANE.2004.07.002
The postoperative analgesic efficacy of wound instillation with ropivacaine 0.1% versus ropivacaine 0.2%.
E. Zohar (2004)
10.1016/j.rapm.2006.11.013
Comparison of Different Injectate Volumes for Stellate Ganglion Block: An Anatomic and Radiologic Study
G. Feigl (2006)
10.3344/kjp.2015.28.1.61
The Effect of Stellate Ganglion Block on Intractable Lymphedema after Breast Cancer Surgery
J. Kim (2015)
10.1213/01.ANE.0000265691.02963.A4
A new approach of ultrasound-guided stellate ganglion block.
Y. Shibata (2007)
10.1016/J.JTCVS.2004.08.026
Long-term pulmonary function after thoracic sympathectomy.
Miguel Ángel Ponce González (2005)
Neurolytic blockade and hypophysectomy
FP Buckley
10.1097/MLG.0b013e318156a04a
Potential Structures That Could Be Confused With a Nonrecurrent Inferior Laryngeal Nerve: An Anatomic Study
E. Maranillo (2008)
10.1016/0197-2456(88)90048-7
Properties of the urn randomization in clinical trials.
L. Wei (1988)
10.1007/s00268-004-7197-7
Identification of the Nonrecurrent Laryngeal Nerve during Thyroid Surgery: 20-Year Experience
A. Toniato (2004)
10.1097/AAP.0b013e31827db721
Ultrasound-Guided Stellate Ganglion Block: What About the Phrenic Nerve?
A. Ojeda (2012)
10.1046/j.1365-2044.2002.02330.x
Assessment of diaphragm function after stellate ganglion block using magnetic stimulation
R. J. Sawyer (2002)
10.1097/00000539-199805000-00024
The Effects of Cervical Epidural Anesthesia with Bupivacaine on Pulmonary Function in Conscious Patients
X. Capdevila (1998)
10.1016/S0266-4356(98)90493-4
Anatomical variants of the cervical sympathetic chain to be considered during neck dissection.
A. J. Lyons (1998)
Ultrasound-guided stellate ganglion block successfully prevented esophageal puncture.
S. Narouze (2007)
10.1213/00000539-199203000-00006
Hemidiaphragmatic paresis during interscalene brachial plexus block: effects on pulmonary function and chest wall mechanics.
W. Urmey (1992)
10.1016/0306-4522(92)90239-X
The sensory and sympathetic innervation of guinea-pig lung and trachea as studied by retrograde neuronal tracing and double-labelling immunohistochemistry
W. Kummer (1992)
10.1590/s0034-70942009000200014
Comparative study for the postoperative analgesic efficacy of 20 mL at 0.5, 0.75, and 1% ropivacaine in posterior brachial plexus block.
M. G. C. Cruvinel (2008)
10.4097/KJAE.2001.41.2.165
Minimal Concentration of Lidocaine for a Diagnostic Stellate Ganglion Block
J. H. Chang (2001)



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