Stellate ganglion block as a complementary therapeutic modality for arterial thrombosis in upper limb of a neonate

  • Mehrdad Taheri Assistant Professor of Anesthesiology & Pain Management, Department of Anesthesiology & Pain Medicine, Shahid Beheshti University of Medical Sciences, Tehran, (Iran)
  • Mitra Radfar Assistant Professor of Neonatal-Perinatal Medicine, Department of Neonatology, Shahid Beheshti University of Medical Sciences, Tehran, (Iran)
  • Shabnam Tabasi Hematologist and Oncologist, Shahid Beheshti University of Medical Sciences, Ayatollah Taleghani Hospital, Tehran, (Iran)
  • Ebrahim Alijanpour Associate Professor, Babol University of Medical Sciences, Mazandaran, (Iran)
  • Ali Jabbari Assistant Professor, Golestan University of Medical Sciences, Gorgan, (Iran)
Keywords: Stellate ganglion, Stellate ganglion/Drug effects, Ganglion blockers, Thrombosis, Autonomic nerve block, Lidocaine, Neonate

Abstract

Stellate ganglion block or lower cervical sympathetic block is an interventional procedure, in which a local anesthetic is injected to the sympathetic trunk of the neck, for adjustment of autonomic tone in head, neck and the upper extremity. This procedure is frequently used as a complementary therapeutic modality in a variety of complex heterogeneous problems. We report a case of rapid onset radial and brachial artery thrombosis, which developed in a neonate patient after multiple attempts for a peripheral venous access by cannulation. The condition was diagnosed with Doppler ultrasound, and was successfully managed with stellate ganglion block along with intravenous administration of an anticoagulant.

Citation: Taheri M, Radfar M, Tabasi S, Alijanpour E, Jabbari A. Stellate ganglion block as a complementary therapeutic modality for arterial thrombosis in upper limb of a neonate. Anaesth pain & intensive care 2019;23(4)__

Received: 22 July 2019; Reviewed: 18 August, 15 November 2019; Revised: 2 December 2019; Accepted: 6 December 2019

Published
04-27-2020
How to Cite
Taheri, M., Radfar, M., Tabasi, S., Alijanpour, E., & Jabbari, A. (2020). Stellate ganglion block as a complementary therapeutic modality for arterial thrombosis in upper limb of a neonate. Anaesthesia, Pain & Intensive Care, 23(4), 395-397. https://doi.org/10.35975/apic.v23i4.1173
Section
Case Reports