Severe hypertension after stellate ganglion block.
Haemodynamic effects may occur after stellate ganglion block (SGB) arising from autonomic imbalance and local anaesthetic infiltration to barosensitive areas. We report seven patients who developed severe hypertension (systolic arterial pressure >200 mm Hg) after SGB in our pain clinic service. We postulate that diffusion of the local anaesthetic along the carotid sheath may produce vagal blockade causing unopposed sympathetic activity as a result of attenuation of the baroreceptor reflex. We recommend close monitoring of arterial pressure measurement in patients who received SGB.
Kimura
T
T
Department of Anesthesiology, Nagoya University Graduate School and Faculty of Medicine, Tsuruma-cho 65, Showa-ku, Nagoya, 466-8550, Japan. tomo@masuika.jp
Nishiwaki
K
K
Yokota
S
S
Komatsu
T
T
Shimada
Y
Y
D000328:Adult; D000368:Aged; D000779:Anesthetics, Local / Q000493:pharmacokinetics; D001340:Autonomic Nerve Block / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008875:Middle Aged; D013233:Stellate Ganglion
D000779:Anesthetics, Local