title: [Treatment of a patient with refractory cardiac arrhythmias using stellate ganglion block. Access by the classical and ultrasound-guided approach].
abstract: Stellate ganglion block is a technique that is often used by anesthesiologists for the treatment of complex regional pain syndromes of the upper extremity. This technique interrupts cardiac sympathetic innervation and has been proposed as treatment for refractory arrhythmias. We present the case of a patient with arrhythmias that were refractory to pharmacological treatment, and were finally treated by continuous stellate ganglion block. Left stellate ganglion is a lynchpin of cardiac arrhythmias due to being a structure where the majority of postganglion sympathetic fibers responsible for preferentially innervating the atriventricular node, bundle of His and ventricular mass are originated, fundamentals in the origin and maintenance of ventricular arrhythmias.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, España. Electronic address: covimata@hotmail.com.
authors.forename: N C
authors.initials: NC
authors.lastname: Mata Francisco
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: E
authors.initials: E
authors.lastname: Gómez Pesquera
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: N
authors.initials: N
authors.lastname: Ruiz López
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: J C
authors.initials: JC
authors.lastname: Álvarez López
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: P
authors.initials: P
authors.lastname: Jorge-Monjas
mesh_terms: D001283:Atrioventricular Node / Q000294:innervation; D001340:Autonomic Nerve Block / Q000295:instrumentation / Q000379:methods*; D002045:Bupivacaine / Q000008:administration & dosage / Q000627:therapeutic use; D002317:Cardiovascular Agents / Q000627:therapeutic use; D002408:Catheters, Indwelling; D003131:Combined Modality Therapy; D015908:Counterpulsation; D017147:Defibrillators, Implantable; D004351:Drug Resistance; D004554:Electric Countershock; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013233:Stellate Ganglion / Q000503:physiopathology*; D017779:Sympathetic Fibers, Postganglionic / Q000503:physiopathology; D017180:Tachycardia, Ventricular / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D018084:Ultrasonography, Interventional / Q000379:methods*
chemical_list: D002317:Cardiovascular Agents; D002045:Bupivacaine
keywords: Bloqueo nervioso; Catheters; Catéteres de permanencia; Ganglio estrellado; Nerve block; Stellate ganglion; Ultrasonografía; Ultrasound