[Stellate ganglion block in the treatment of ischemic syndrome in an upper limb due to accidental intra-arterial injection of pharmacologic substances or narcotics].
The paper describes five cases of accidental intraarterial injection of pharmacological drugs (diazepam or thiopentone) or dope (heroin) in an upper limb. Following a review of the physiopathological mechanisms which led to ischemic damage, the Authors outline a protocol of continuous pharmacological sympathicolysis in the affected limb, using repeated anesthetic blocks of the homolateral stellate ganglion.
De Gasperis
A
A
Servizio di Anestesia e Rianimazione, Ospedale C.T.O., USL RM VI, Roma.
Cosimati
F
F
Lorenzetti
A
A
Rossini
P
P
D001132:Arm / Q000098:blood supply*; D001340:Autonomic Nerve Block; D003975:Diazepam; D003932:Heroin / Q000008:administration & dosage; D006801:Humans; D007269:Injections, Intra-Arterial / Q000009:adverse effects; D007511:Ischemia / Q000209:etiology / Q000628:therapy*; D012039:Regional Blood Flow; D013233:Stellate Ganglion; D013577:Syndrome; D013874:Thiopental
D003932:Heroin; D013874:Thiopental; D003975:Diazepam
Il blocco del ganglio stellato nel trattamento della sindrome ischemica dell'arto superiore da iniezione intra-arteriosa accidentale di sostanze farmacologiche o stupefacenti.