• Saudi Med J · Oct 2022

    Combining Stellate ganglion block and intravenous regional anesthesia to treat complex regional pain syndrome: A 19-years' experience in a tertiary center.

    • Abdelkarim S Aloweidi, Sami A Abu Halaweh, Mahmoud M Al-Mustafa, Islam M Massad, Ibraheem Y Qudaisat, Aws M Khanfar, Jihad M Ajlouni, Shaher T Alhadidi, Ahmad I El-Share, Mohammad A Jarbeh, and Anas A Al-Oweidi.
    • From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
    • Saudi Med J. 2022 Oct 1; 43 (10): 116811721168-1172.

    ObjectivesTo study reduction in pain score after treatment with intravenous regional anesthesia (IVRA) and Stellate ganglion block (SGB) combination on complex regional pain syndrome (CPRS) patients and to quantify patients' satisfaction with treatment and occurrence of complications.MethodsThis is a record-based retrospective review carried out in 2020, targeting patients treated in the University of Jordan Hospital, Amman, Jordan, over the years 2002-2020.ResultsAmong 99 patients, a significant drop in pain scores occurred in 88% of the patients' sample. Gender, age, type of CRPS, and duration of symptoms didn't affect statistical results. An average of 8.6 sessions needed to achieve 50% drop in pain score, and 2-3 sessions for first clinical improvement. Patients with previous application of plaster of Paris had increased success rates.ConclusionWe find it practical, inexpensive, safe, and straightforward to combine SGB with IVRA for CRPS patients.Copyright: © Saudi Medical Journal.

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