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Case Reports
Stellate ganglion local anesthetic blockade and neurolysis for the treatment of refractory ventricular fibrillation.
- David F Hulata, Linda Le-Wendling, Andre P Boezaart, and Robert W Hurley.
- From the Department of Anesthesiology, University of Florida, Gainesville, Florida.
- A A Case Rep. 2015 Mar 1;4(5):49-51.
AbstractElectrical storm (ES) is a syndrome characterized by recurrent ventricular fibrillation or tachycardia. It is a major clinical challenge and is often unresponsive to conventional drug therapy; instead, its treatment requires multiple attempts at electrical defibrillation. Sympathetic hyperactivity is an important modulator of ventricular arrhythmias, including ES. We report a case of ES treated safely and effectively with pharmacologic sympathectomy involving diagnostic continuous stellate ganglion blockade with local anesthetic followed by therapeutic neurolysis. This technique reduced ES in a patient for whom conservative medical and interventional procedures were ineffective.
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