ULTRASOUND-GUIDANCE LUMBAR SYMPATHETIC GANGLION BLOCK. CASE REPORT
DOI:
https://doi.org/10.31379/2411.2616.11.1.2Keywords:
lumbar sympathetic ganglion block, shamrock-method, sympathetic block, ultrasound-guidanceAbstract
Lumbar sympathetic ganglion block (LSGB) belongs to one of the invasive methods which is used in the chronic pain treatment as well as in other situations. This type of block is done with the help of floroscopy. In the last decade, the widely spread of ultrasonography leads to the implementation of this method in regional anesthesia with subside of other methods of nerves and nerve plexuses identification. Ultrasound (US) imaging can also be implemented in sympathetic blocks. In this article, there is a description of three cases in which US guidance has been used during LSGB. The description includes the method of block procedure in details with taking into account the sonoanatomy of LSPB and techniques of administration of needle. In all of those cases, identification of administration site of anesthetic drug was possible with US. Authors claim, that LSGB under US guidance can be used in patients instead of the use of fluoroscopy under the condition of good visiualaization of anatomical structures.
References
Alexander J. Chemical lumbar sympathectomy in patients with severe lower limb ischaemia. Ulster Med J. 1994. № 63. P. 137–143.
Baig S., Youn M. J., Shankar H. Ultrasound-Guided Sympathetic Blocks. Anatomy, Sonoanatomy, Evidence, and Techniques. Regional Anesthesia and Pain Medicine. 2017. № 3. P. 371–391.
Christopher E. Alexander, Scott C. Dulebohn. Lumbar Sympathetic Block. Stat Pearls Publishing LLC. 2017. № 5. P. 23–67.
Ultrasound guided lumbar sympathetic ganglion blockade using shamrock method: a prospective case series / Ma Dan-Xu et al. J Anesth Perioper Med. 2016. № 3. P. 114–118.
Drobnik L., Kowalski G. Anestezja Regionalna. Anest. 2012. № 4. P. 83–87.
Fanelli A., Ghisi D., Melotti R. M. An update around the evidence base for the lower extremity ultrasound regional block technique. Research. 2016. № 5. P. 104 (doi: 10.12688/f1000research.7199.1).
Hilgier M. Blokady układu współczulnego. 1995. S. 134.
A prospective evaluation of psoas muscle and intravascular injection in lumbar symathetic ganglion block / Ji H. Hong et al. Anesthesia & Analgesia. 2010. № 3. P. 802–807.
Ultrasound-guided lumbar plexus block using a transverse scan through the lumbar intertransverse space: a prospective case series / M. K. Karmakar et al. Reg Anesth Pain Med. 2015. № 40 (1). P. 75–81.
Are Sympathetic Blocks Useful for Diagnostic Purposes? / E. K. Krumova et al. Reg Anesth Pain Med. 2011. № 36. P. 560–567.
Osman Hakan Gunduz, Ozge Kenis-Coskun. Ganglion blocks as a treatment of pain: current perspectives. Review. Journal of Pain Research. 2017. № 10. P. 2815–2826.
Ultrasound-Assisted Versus Fluoroscopic-Guided Lumbar Sympathetic Ganglion Block: A Prospective and Randomized Study / Ryu et al. Anesthesia & Analgesia. 2006. P. 178.
A brief report on a technical description of ultrasound-guided lumbar sympathetic block / Youn Jee Moon et al. Korean J Pain. 2017. № 4. P. 1362–1368.