Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Feigl, GC; Rosmarin, W; Stelzl, A; Weninger, B; Likar, R.
Comparison of different injectate volumes for stellate ganglion block: an anatomic and radiologic study.
Reg Anesth Pain Med. 2007; 32(3): 203-8.
Doi: 10.1016/j.rapm.2006.11.013
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Feigl Georg
- Co-Autor*innen der Med Uni Graz
- Likar Rudolf
- Rosmarin Walter-Franz
- Weninger Barbara
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- Abstract:
- BACKGROUND: Volumes from 5 to 20 mL of local anesthetic are used for stellate ganglion block. The variation of practice gave us the impetus to investigate the distribution of 3 different volumes of solution. We documented the regions reached by each volume to assess the possibility to reduce the injectate to 5 mL. MATERIALS AND METHOD: A total of 42 cadavers (84 halves), fixed by Thiel's method and on which pulse simulation was performed, were investigated. Of these 84 halves, 28 were injected with 5 mL of contrast (group A), 28 halves with 10 mL (group B), and 28 halves with 20 mL (group C), according to the tissue-displacement method. Immediately after injection, the cadavers were investigated by use of CT scans with a possible 3-dimensional reconstruction. In addition, 4 halves of group A and group B were dissected, and the contrast distribution was determined by photography. RESULTS: Group A showed a constant dissemination from C4 to Th2-Th3, without spreading to ventral or lateral regions. In group B, a persistent spread from C4 to Th3 was documented. Ventral and lateral regions were also reached in one third of the specimens. Group C showed a constant dissemination from C3 to Th4-Th5, with additional spread to ventral, lateral, and posterior regions of the neck similar to that in group B. CONCLUSION: The use of 5 mL results in an almost ideal vertical distribution in most of the cadavers, whereas high volumes--20 mL more so than 10 mL--are at risk of spreading extensively in both the vertical direction and also uncontrollably to other regions of the neck.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Aged - administration & dosage
- Aged, 80 and over - administration & dosage
- Autonomic Nerve Block - adverse effects, methods
- Cadaver - administration & dosage
- Contrast Media - administration & dosage, pharmacokinetics
- Female - administration & dosage
- Humans - administration & dosage
- Imaging, Three-Dimensional - administration & dosage
- Injections - administration & dosage
- Male - administration & dosage
- Middle Aged - administration & dosage
- Radiographic Image Interpretation, Computer-Assisted - administration & dosage
- Stellate Ganglion - anatomy & histology, diagnostic imaging
- Tissue Distribution - administration & dosage
- Tomography, X-Ray Computed - administration & dosage
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- stellate ganglion block
- sympathetic block
- cervical sympathetic block