성상신경절 차단 후 발생한 혈압 상승과 의식소실-증례 보고-
Increased Blood Pressure and Loss of Consciousness after Stellate Ganglion Block -A case report-
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A 59 year-old female patient suffered from complex regional pain syndrome in left hemiplegia, was managed to stellate ganglion block (SGB) with 5 ml of 1 % lidocaine. The SGB was performed twice previously, with no side effects. And the third SGB was done in the same manner after negative aspiration testing. Two minutes later, she developed respiratory difficulty with increased blood pressure. Immediately airway management was performed by mask ventilation with oxygen. But ten minutes later, she developed respira-tory arrest with unconsciousness and intubation was performed. Soon she recovered spontaneous respiration and the blood pressure returned to the former level. Despite taking all precautions during SGB, complications such as respiratory arrest and hypertension may occur even in the hands of an experienced physician. Therefore, before starting SGB, all resuscitation drugs and equipment must be ready for use in case any emergency develops.
Abstract
A 59 year-old female patient suffered from complex regional pain syndrome in left hemiplegia, was managed to stellate ganglion block (SGB) with 5 ml of 1 % lidocaine. The SGB was performed twice previously, with no side effects. And the third SGB was done in the same manner after negative aspiration testing. Two minutes later, she developed respiratory difficulty with increased blood pressure. Immediately airway management was performed by mask ventilation with oxygen. But ten minutes later, she developed respira-tory arrest with unconsciousness and intubation was performed. Soon she recovered spontaneous respiration and the blood pressure returned to the former level. Despite taking all precautions during SGB, complications such as respiratory arrest and hypertension may occur even in the hands of an experienced physician. Therefore, before starting SGB, all resuscitation drugs and equipment must be ready for use in case any emergency develops.
참고문헌 (11)
- "반사성 교감신경 위축 증후군에 대한 반복적 교감신경 차단 효과. 대한통증학회지 1990", pp.165~171
- "Reflex sympathetic dystrophy", pp.525~529 (1998), Lippincott-Raven Publishers
- "통증크리닉 신경블록법", pp.16~24 (1995), 군자출판사
- "The management of pain" (1990)
- "Efficacy of stellate ganglion block:a clinical study with bupivacaine", 17, pp.340~347 (1992)
- "Sympathetic nerve blocks: head, neck, and trunk", pp.651~664 (2000), Mosby
- "Sympathetic neural blockade of upper and lower extremity. In editors. Neural blockade in clinical anesthesia and management of pain", pp.97 427~128 430 (1998)
- "Neural blockade in clinical anesthesia", pp.461~483 (1988), Lippincott Company
- "Seizure following stellate ganglion block after negative aspiration and test dose. Anesthesiology 1986", pp.533~534
- "An unusual complication after stellate ganglion block by the paratracheal approach", pp.435~439
- "Convulsions during stellate ganglion block", pp.329~330, Korevaar WC