Journal of Anaesthesiology Clinical Pharmacology

CASE REPORT
Year
: 2020  |  Volume : 36  |  Issue : 2  |  Page : 265--267

Continuous stellate ganglion block in delayed cerebral ischemia: A possible supplementary approach to traditional therapy?


Andrea Bortolato1, Davide Simonato2, Paolo Feltracco1, Marina Munari3 
1 Institute of Anesthesia and Intensive Care Medicine, University Hospital of Padova, Padova, Italy
2 Institute of Radiology, University Hospital of Padova, Padova, Italy
3 Neuroanesthesia and Intensive Care Unit, University Hospital of Padova, Padova, Italy

Correspondence Address:
Dr. Andrea Bortolato
Anesthesia and Intensive Care University-Hospital of Padua, Via Nicolò Giustiniani n. 2, 35121 Padova
Italy

Delayed Cerebral Ischemia (DCI) is a major contributor to morbidity and mortality after SAH. Currently the prevention of vasospasm and DCI relies on nimodipine administration and on maintaining an adequate cerebral perfusion pressure. We report a patient with initial DCI after SAH in which stellate ganglion block (SGB) was performed after nimodipine administration. Firstly the procedure was characterized by a iv and intra-arterial nimodipine administration which did not result into a normal perfusion pattern. Therefore a single-shot stellate ganglion block was performed, as suggested in literature. Because of the not sufficient but promising perfusion improvement, we decided to deliver a continuous ganglion block (cSGB) for 5 days. Consequently a further improvement of the cerebral perfusion on CTPerfusion and Real Time Angiographic Perfusion Assessment was registered. In order to treat cerebral vasospasm, SGB is known to be a further valuable treatment, despite its temporary effect. However the continuous use of SGB during initial DCI has never been described before.


How to cite this article:
Bortolato A, Simonato D, Feltracco P, Munari M. Continuous stellate ganglion block in delayed cerebral ischemia: A possible supplementary approach to traditional therapy?.J Anaesthesiol Clin Pharmacol 2020;36:265-267


How to cite this URL:
Bortolato A, Simonato D, Feltracco P, Munari M. Continuous stellate ganglion block in delayed cerebral ischemia: A possible supplementary approach to traditional therapy?. J Anaesthesiol Clin Pharmacol [serial online] 2020 [cited 2020 Aug 4 ];36:265-267
Available from: http://www.joacp.org/article.asp?issn=0970-9185;year=2020;volume=36;issue=2;spage=265;epage=267;aulast=Bortolato;type=0