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The treatment is known as SGB (stellate ganglion block), which can also be referred to as CSB (cervical sympathetic blockade). The stellate ganglion is treated with an injection of local anesthetic (numbing medicine) to block the sympathetic nerves located on either side of the voice box in the neck.
The stellate ganglia may be cut in order to decrease the symptoms exhibited by Raynaud's phenomenon and hyperhydrosis (extreme sweating) of the hands. Injection of local anesthetics near the stellate ganglion can sometimes mitigate the symptoms of sympathetically mediated pain such as complex regional pain syndrome type I (reflex sympathetic dystrophy), and symptoms associated with alterations ...
Intervention-based pain management & the use of the stellate ganglion block for hot flashes & PTSD Eugene G. Lipov (born 1958) is a physician researcher and board-certified anesthesiologist who specializes in intervention -based pain management in the Chicago area. [ 1 ]
Ganglionic blockers are used less frequently now than they were in the past, because antihypertensives with fewer side effects are now available. Hexamethonium has been described as the "first effective antihypertensive drug". [4] However, they are still used in some emergency situations, such as aortic dissection or autonomic dysreflexia.
Afferent nerve cell bodies bring information from the body to the brain and spinal cord, while efferent nerve cell bodies bring information from the brain and spinal cord to the rest of the body. The cell bodies create long sympathetic chains that are on either side of the spinal cord. They also form para- or pre-vertebral ganglia of gross anatomy.
The inferior cervical ganglion is one of the three cervical sympathetic ganglia (i.e. of the cervical portion of the sympathetic trunk). [1] It is situated between the base of the transverse process of the last cervical vertebra and the neck of the first rib, on the medial side of the costocervical artery. [citation needed]
The organ system and adverse effects of ganglion blockers are due to the parasympathetic and sympathetic stimuli blockage at preganglionic sites. Side-effects include combined sympatholytic (e.g., orthostatic hypotension and sexual dysfunction ) and parasympatholytic (e.g., constipation, urinary retention , glaucoma , blurry vision, decreased ...
However, the supraclavicular block is often quicker to perform and may result in fewer side effects than the interscalene block. Compared to the infraclavicular block and axillary blocks, the successful achievement of adequate anesthesia for surgery of the upper extremity is about the same with supraclavicular block.