Journal article
Alternative Approaches to Bilateral Stellate Ganglion Block for Treatment of Refractory Ventricular Arrhythmia
Case reports in anesthesiology, Vol.2025(1), 2691681
2025
DOI: 10.1155/cria/2691681
PMCID: PMC12719393
PMID: 41438246
Abstract
Patients with ventricular arrhythmias (VAs) refractory to medical treatment suffer high morbidity and mortality. The stellate ganglion block is an effective diagnostic and therapeutic tool for refractory VAs.
After obtaining an informed consent, we describe a case of a 62-year-old female who suffered ventricular tachycardia refractory to pharmacologic and electrical management, resulting in pulseless ventricular tachycardia (pVT) arrest. The regional anesthesia team was unable to expose the neck and obtain adequate ultrasound visualization using the classic approach and therefore used alternative ultrasound-guided approaches with success.
We describe the performance of the stellate ganglion blocks with an out-of-plane needle approach on the left and a medial in-plane approach on the right. These approaches allowed us to successfully block the stellate ganglia bilaterally.
Refractory VA is associated with an increased cardiac sympathetic tone and has high morbidity and mortality. Stellate ganglion blocks can be used for diagnostic and therapeutic purposes. In-plane and out-of-plane techniques can be utilized.
Details
- Title: Subtitle
- Alternative Approaches to Bilateral Stellate Ganglion Block for Treatment of Refractory Ventricular Arrhythmia
- Creators
- Chelsea Skinner - Cleveland ClinicMohamad Ayoub - NYU Langone HealthElie Geara - NYU Langone HealthAdeeb Oweidat - University of IowaIsmat Mrad - University of Rochester Medical CenterLoran Mounir Soliman - University of North Carolina at CharlotteHusien Taleb - Cleveland Clinic
- Resource Type
- Journal article
- Publication Details
- Case reports in anesthesiology, Vol.2025(1), 2691681
- DOI
- 10.1155/cria/2691681
- PMID
- 41438246
- PMCID
- PMC12719393
- NLM abbreviation
- Case Rep Anesthesiol
- ISSN
- 2090-6382
- eISSN
- 2090-6390
- Publisher
- Wiley
- Language
- English
- Date published
- 2025
- Academic Unit
- Anesthesia
- Record Identifier
- 9985093884402771
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