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Continuous stellate ganglion block in delayed cerebral ischemia: A possible supplementary approach to traditional therapy?
- Source :
- Journal of Anaesthesiology Clinical Pharmacology, Vol 36, Iss 2, Pp 265-267 (2020)
- Publication Year :
- 2020
- Publisher :
- Wolters Kluwer Medknow Publications, 2020.
-
Abstract
- Delayed Cerebral Ischemia (DCI) is a major contributor to morbidity and mortality after SAH. Currently the prevention of vasospasm and DCI relies on nimodipine administration and on maintaining an adequate cerebral perfusion pressure. We report a patient with initial DCI after SAH in which stellate ganglion block (SGB) was performed after nimodipine administration. Firstly the procedure was characterized by a iv and intra-arterial nimodipine administration which did not result into a normal perfusion pattern. Therefore a single-shot stellate ganglion block was performed, as suggested in literature. Because of the not sufficient but promising perfusion improvement, we decided to deliver a continuous ganglion block (cSGB) for 5 days. Consequently a further improvement of the cerebral perfusion on CTPerfusion and Real Time Angiographic Perfusion Assessment was registered. In order to treat cerebral vasospasm, SGB is known to be a further valuable treatment, despite its temporary effect. However the continuous use of SGB during initial DCI has never been described before.
Details
- Language :
- English
- ISSN :
- 09709185
- Volume :
- 36
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Anaesthesiology Clinical Pharmacology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.f74d05ca1444911b8474a3281339089
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/joacp.JOACP_251_19