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Critical care medicine · Aug 2015
Case ReportsUrgent Ultrasound-Guided Bilateral Stellate Ganglion Blocks in a Patient With Medically Refractory Ventricular Arrhythmias.
- Maura M Scanlon, Shane M Gillespie, Hartzell V Schaff, Yong-Mei Cha, and Erica D Wittwer.
- 1Department of Anesthesiology, Mayo Clinic, Rochester, MN. 2Division of Cardiothoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN. 3Department of Cardiovascular Disease, Mayo Clinic, Rochester, MN.
- Crit. Care Med. 2015 Aug 1;43(8):e316-8.
ObjectivesTo describe the successful treatment of medically refractory ventricular arrhythmias in the ICU with ultrasound-guided bilateral stellate ganglion blocks.Data SourcesThe data were gathered from the medical record.Study SelectionThis case was selected as it describes the use of ultrasound in the successful termination of a recurrent, malignant arrhythmia, rather than fluoroscopy, to perform bilateral stellate ganglion blocks at the patient's bedside in the ICU.Data ExtractionThe data were extracted from the medical record.Data SynthesisThe data were synthesized from the patient's medical record.ConclusionsPerformance of stellate ganglion blocks at the bedside in the ICU is feasible for patients who are suffering from refractory ventricular arrhythmias. This potentially life-saving block can be performed using ultrasound guidance, sparing the patient transport to a fluoroscopy suite.
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