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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제35권 제2호
- 발행연도
- 2018.1
- 수록면
- 199 - 204 (6page)
이용수
초록· 키워드
오류제보하기
Background: The authors have performed ultrasound-guided stellate ganglion block (SGB) in our clinic using a lateral paracarotid approach at the level of the 6th cervical vertebra (C6). Although SGB at C6 is a convenient and safe method, there are ongoing concerns about the weak effect of sympathetic blockade in the ipsilateral upper extremity. Therefore, ultrasound-guided SGB was attempted using a lateral paracarotid approach at the level of the 7th cervical vertebra (C7). This prospective study aimed to compare changes in skin temperature after SGB was performed at C6 and C7, and to introduce a lateral paracarotid approach for SGB. Methods: Thirty patients underwent SGB twice: once at C6 and once at C7. For every SGB, the skin temperature of the patient’s hypothenar area was measured for 15 min at 1-min intervals. Skin temperatures before and after SGB and side effects were compared between C6 and C7 groups. Results: The temperature of the upper extremity increased after SGB was performed at C6 and C7. There were significant differences between mean pre-SGB and the largest increases in post-SGB temperatures (0.50±0.38℃ and 1.41±0.68℃ at C6 and C7, respectively; p<0.05). Significantly increased post-SGB temperatures (difference >1℃) were found in 5/30 (16.7%) and 24/30 (80%) cases for C6 and C7, respectively (p< 0.05). There were no significant differences in side effects between SGB performed at C6 or C7 (p>0.05). Conclusion: The lateral paracarotid approach using out-of-plane needle insertion for ultrasound-guided SGB performed at C7 was feasible and more effective at elevating skin temperature in the upper extremity than SGB at C6.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Narouze S / 2007 / Ultrasound-guided stellate ganglion block successfully prevented esophageal puncture / Pain Physician 10:747~752
Narouze S / 2014 / Ultrasound-guided stellate ganglion block: safety and efficacy / Curr Pain Headache Rep 18:424
Kim H / 2017 / A lateral paracarotid approach for ultrasound-guided stellate ganglion block with a linear probe / J Anesth 31:458~462
정걸 / 2011 / The optimal volume of 0.2% ropivacaine required for an ultrasound-guided stellate ganglion block / Korean Journal of Anesthesiology 60(3):179~184
Moore DC / 2008 / Therapeutic stellate ganglion block: 5 versus 10mL of a local anesthetic / Reg Anesth Pain Med 33:191~192
Narouze S / 2014 / Ultrasound-guided stellate ganglion block: safety and efficacy / Curr Pain Headache Rep 18:424
Kim H / 2017 / A lateral paracarotid approach for ultrasound-guided stellate ganglion block with a linear probe / J Anesth 31:458~462
정걸 / 2011 / The optimal volume of 0.2% ropivacaine required for an ultrasound-guided stellate ganglion block / Korean Journal of Anesthesiology 60(3):179~184
Moore DC / 2008 / Therapeutic stellate ganglion block: 5 versus 10mL of a local anesthetic / Reg Anesth Pain Med 33:191~192
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