The therapeutic block of the stellate ganglion in the current setting

Authors

  • Omar Seguras Llanes Licenciado FAR del HMC "Dr. C. J. Finlay"

Keywords:

bloqueo nervioso, ganglio estrellado, dolor crónico, distrofia simpática refleja, Síndrome de Dolor Regional Complejo

Abstract

Introduction:

The therapeutic block of the stellate ganglion is a procedure for relieving chronic pain of the upper limbs, head, and neck. It is currently performed with more adjuvant local anesthetics, but in Cuba only local anesthetics are used for this block.

Objective:

To compare recent information about the relevance of using local anesthetics with adjuvants to stimulate the updating of their practice nationally, according to the routines and the outcomes of this expertise in the international setting.

Methods:

More than 150 scientific reports were reviewed online, referring to this technique worldwide, regarding drug use and therapeutic outcomes, in databases in English, Spanish, and Portuguese.

Development:

The anesthetic block requires knowledge about pharmacology and practical skills to perform it. The need for local anesthetics and adjuvants varies, and depends on the patient and type of block. Opioids are also used to treat chronic pain, alone or with local anesthetics. Reasonable benefits are also published regarding the use of ketamine and steroids in combination with local anesthetics.

Conclusion:

The most intense and lasting therapeutic outcomes obtained by applying more adjuvant local anesthetic suggest updating these practices nationally.

Keywords: nerve block; stellate ganglion; chronic pain; sympathetic dystrophy; complex regional pain syndrome.

 

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Author Biography

Omar Seguras Llanes, Licenciado FAR del HMC "Dr. C. J. Finlay"

Especialista de 2do grado en anestesiología y reanimación. Profesor Auxiliar. Máster en urgencias médicas. Diplomado en cuidados intensivos. Co-editor del sitio web de anestesiología y reanimación de Cuba.

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Published

2020-02-03

How to Cite

1.
Seguras Llanes O. The therapeutic block of the stellate ganglion in the current setting. Rev Cub Anest Rean [Internet]. 2020 Feb. 3 [cited 2025 May 9];19(1). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/546

Issue

Vol. 19 No. 1 (2020): January - April

Section

Review articles

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