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Stellate Ganglion Block

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Nerve Blockade and Interventional Therapy

Abstract

Stellate ganglion block (SGB) is a compartment block technique in which a local anesthetic is injected into a cervical sympathetic ganglion, stellate ganglion (SG), and the region around it to block the SG, cervical sympathetic trunk, and sympathetic pre- and postganglionic fibers contained in the compartment.

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Change history

  • 30 July 2019

    In the original version of Chapter 22, one of the author names was inadvertently published as Paku Motohiko. The name of the author should be read as Park Kieun.

References

  1. Brevick H, Cousins MJ, Löfström JB. Sympathetic neural blockade of upper and lower extremity. In: Cousins MJ, Bridengaugh PO, editors. Neural blockade in clinical anesthesia and management of pain. 3rd ed. Philadelphia: Lippincott-Raven; 1998.

    Google Scholar 

  2. Totoki T, Morimoto A, Taniguchi Y, Hirakawa N, Taniguchi T, Mineta Y, Kato T, Harano K. Anatomy of the stellate ganglion. J Jpn Soc Pain Clinicians. 1994;1:3–11. (in Japanese)

    Google Scholar 

  3. Hirakawa N. Anatomy and function of stellate ganglion. Pain Clinic. 2014;35:149–57. (in Japanese)

    Google Scholar 

  4. Yamamuro M, Eba Y, Kaneko T, Yasuda A, Fudeta H. Stellate ganglion block at the sixth cervical vertebra. (2). A study of technique. Pain Clinic. 1991;12:507–12. (in Japanese)

    Google Scholar 

  5. Yamaki K, Saga T, Hirata T, Sakaino M, Nohno M, Kobayashi S, Hirao T. Anatomical study of the vertebral artery in Japanese adults. Anat Sci Int. 2006;81:100–6.

    Article  Google Scholar 

  6. Hong JT, Park DK, Lee MJ, Kim SW, An HS. Anatomical variations of the vertebral artery segment in the lower cervical spine; analysis by three-dimensional computed tomography angiography. Spine. 2008;33(22):2422–6.

    Article  Google Scholar 

  7. Narouze S. Beware of the “serpentine” inferior thyroid artery while performing stellate ganglion block. Anesth Analg. 2009;109:289–90.

    Article  Google Scholar 

  8. Huntoon MA. The vertebral artery is unlikely to be the sole source of vascular complications occurring during stellate ganglion block. Pain Pract. 2010;10:25–30.

    Article  Google Scholar 

  9. Wakasugi B, Mochida N. Effective stellate ganglion technique. Pain Clinic. 2007;28:478–86. (in Japanese)

    Google Scholar 

  10. Abdi S, Zhou Y, Patel N, Saini B, Nelson J. A new and easy technique to block the stellate ganglion. Pain Physician. 2004;7:327–31.

    PubMed  Google Scholar 

  11. Waldman SD. Chapter 29 Stellate ganglion block: posterior approach. Atlas of interventional pain management. Philadelphia: Waldman SD, WB Saunders; 1998. p. 104–7.

    Google Scholar 

  12. Shibata Y, Fujiwara Y, Komatsu T. A new approach of ultrasound-guided stellate ganglion block. Anesth Analg. 2007;105(2):550–1.

    Article  Google Scholar 

  13. Akashi N, Park K. Technique of ultrasound-guided stellate ganglion block. Pain Clinic. 2014;35:163–70.

    Google Scholar 

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Correspondence to Naomi Hirakawa .

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© 2019 Springer Japan KK, part of Springer Nature

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Hirakawa, N., Paku, K., Oji, N. (2019). Stellate Ganglion Block. In: Ohseto, K., Uchino, H., Iida, H. (eds) Nerve Blockade and Interventional Therapy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54660-3_22

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  • DOI: https://doi.org/10.1007/978-4-431-54660-3_22

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54659-7

  • Online ISBN: 978-4-431-54660-3

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