Severe hypertension after stellate ganglion block.

Abstract:

:Haemodynamic effects may occur after stellate ganglion block (SGB) arising from autonomic imbalance and local anaesthetic infiltration to barosensitive areas. We report seven patients who developed severe hypertension (systolic arterial pressure >200 mm Hg) after SGB in our pain clinic service. We postulate that diffusion of the local anaesthetic along the carotid sheath may produce vagal blockade causing unopposed sympathetic activity as a result of attenuation of the baroreceptor reflex. We recommend close monitoring of arterial pressure measurement in patients who received SGB.

journal_name

Br J Anaesth

authors

Kimura T,Nishiwaki K,Yokota S,Komatsu T,Shimada Y

doi

10.1093/bja/aei134

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

840-2

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)36041-5

journal_volume

94

pub_type

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