The bilateral effect of stellate ganglion block on the facial skin blood flow

Background and Objectives: It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac output, suggesting that the corresponding regional blood flow on the contralateral side may decrease, which would be disadvantageous for patient...

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Published inRegional anesthesia and pain medicine Vol. 25; no. 4; pp. 389 - 392
Main Authors Kakuyama, Masahiro, Toda, Hiroshi, Osawa, Masami, Fukuda, Kazuhiko
Format Journal Article
LanguageEnglish
Published England Elsevier Inc 01.07.2000
BMJ Publishing Group LTD
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Abstract Background and Objectives: It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac output, suggesting that the corresponding regional blood flow on the contralateral side may decrease, which would be disadvantageous for patients with bilateral sympathetically-maintained pain. The aim of this study is to examine the effect of stellate ganglion block on facial skin blood flow. Methods: Skin blood flow on the right and left forehead was measured by a laser blood flowmeter before stellate ganglion block and 15 minutes after the block. The block was performed for 8 outpatients with acute or chronic pain in the head or neck using a 24-gauge needle, 5 mL of 1% mepivacaine, and a paratracheal approach at the C6 transverse process. Time control without the block was obtained with 9 healthy volunteers. Results: All the patients developed the Horner's syndrome on the blocked side, but not on the contralateral side. The facial skin blood flow increased from 7.5 ± 1.1 mL/min/100 g to 14.5 ± 1.4 mL/min/100 g on the blocked side ( P< .01) and from 8.8 ± 1.2 mL/min/100 g to 12.8 ± 1.7 mL/min/100 g on the contralateral side ( P< .05). The healthy volunteers without the block showed no significant change (from 10.1 ± 0.8 mL/min/100 g to 10.3 ± 0.7 mL/min/100 g). Conclusions: Our study suggests that stellate ganglion block may increase the contralateral regional skin blood flow. Reg Anesth Pain Med 2000;25:389-392.
AbstractList BACKGROUND AND OBJECTIVESIt is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac output, suggesting that the corresponding regional blood flow on the contralateral side may decrease, which would be disadvantageous for patients with bilateral sympathetically-maintained pain. The aim of this study is to examine the effect of stellate ganglion block on facial skin blood flow.METHODSSkin blood flow on the right and left forehead was measured by a laser blood flowmeter before stellate ganglion block and 15 minutes after the block. The block was performed for 8 outpatients with acute or chronic pain in the head or neck using a 24-gauge needle, 5 mL of 1% mepivacaine, and a paratracheal approach at the C6 transverse process. Time control without the block was obtained with 9 healthy volunteers.RESULTSAll the patients developed the Horner's syndrome on the blocked side, but not on the contralateral side. The facial skin blood flow increased from 7.5 +/- 1.1 mL/min/100 g to 14.5 +/- 1.4 mL/min/100 g on the blocked side (P < .01) and from 8.8 +/- 1.2 mL/min/100 g to 12.8 +/- 1.7 mL/min/100 g on the contralateral side (P < .05). The healthy volunteers without the block showed no significant change (from 10.1 +/- 0.8 mL/min/100 g to 10.3 +/- 0.7 mL/min/100 g).CONCLUSIONSOur study suggests that stellate ganglion block may increase the contralateral regional skin blood flow.
Background and Objectives: It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac output, suggesting that the corresponding regional blood flow on the contralateral side may decrease, which would be disadvantageous for patients with bilateral sympathetically-maintained pain. The aim of this study is to examine the effect of stellate ganglion block on facial skin blood flow. Methods: Skin blood flow on the right and left forehead was measured by a laser blood flowmeter before stellate ganglion block and 15 minutes after the block. The block was performed for 8 outpatients with acute or chronic pain in the head or neck using a 24-gauge needle, 5 mL of 1% mepivacaine, and a paratracheal approach at the C6 transverse process. Time control without the block was obtained with 9 healthy volunteers. Results: All the patients developed the Horner's syndrome on the blocked side, but not on the contralateral side. The facial skin blood flow increased from 7.5 ± 1.1 mL/min/100 g to 14.5 ± 1.4 mL/min/100 g on the blocked side ( P< .01) and from 8.8 ± 1.2 mL/min/100 g to 12.8 ± 1.7 mL/min/100 g on the contralateral side ( P< .05). The healthy volunteers without the block showed no significant change (from 10.1 ± 0.8 mL/min/100 g to 10.3 ± 0.7 mL/min/100 g). Conclusions: Our study suggests that stellate ganglion block may increase the contralateral regional skin blood flow. Reg Anesth Pain Med 2000;25:389-392.
It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac output, suggesting that the corresponding regional blood flow on the contralateral side may decrease, which would be disadvantageous for patients with bilateral sympathetically-maintained pain. The aim of this study is to examine the effect of stellate ganglion block on facial skin blood flow. Skin blood flow on the right and left forehead was measured by a laser blood flowmeter before stellate ganglion block and 15 minutes after the block. The block was performed for 8 outpatients with acute or chronic pain in the head or neck using a 24-gauge needle, 5 mL of 1% mepivacaine, and a paratracheal approach at the C6 transverse process. Time control without the block was obtained with 9 healthy volunteers. All the patients developed the Horner's syndrome on the blocked side, but not on the contralateral side. The facial skin blood flow increased from 7.5 +/- 1.1 mL/min/100 g to 14.5 +/- 1.4 mL/min/100 g on the blocked side (P < .01) and from 8.8 +/- 1.2 mL/min/100 g to 12.8 +/- 1.7 mL/min/100 g on the contralateral side (P < .05). The healthy volunteers without the block showed no significant change (from 10.1 +/- 0.8 mL/min/100 g to 10.3 +/- 0.7 mL/min/100 g). Our study suggests that stellate ganglion block may increase the contralateral regional skin blood flow.
BACKGROUND AND OBJECTIVES: It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac output, suggesting that the corresponding regional blood flow on the contralateral side may decrease, which would be disadvantageous for patients with bilateral sympathetically-maintained pain. The aim of this study is to examine the effect of stellate ganglion block on facial skin blood flow. METHODS: Skin blood flow on the right and left forehead was measured by a laser blood flowmeter before stellate ganglion block and 15 minutes after the block. The block was performed for 8 outpatients with acute or chronic pain in the head or neck using a 24-gauge needle, 5 mL of 1% mepivacaine, and a paratracheal approach at the C6 transverse process. Time control without the block was obtained with 9 healthy volunteers. RESULTS: All the patients developed the Horner's syndrome on the blocked side, but not on the contralateral side. The facial skin blood flow increased from 7.5 +/- 1.1 mL/min/100 g to 14.5 +/- 1.4 mL/min/100 g on the blocked side (P < .01) and from 8.8 +/- 1.2 mL/min/100 g to 12.8 +/- 1.7 mL/min/100 g on the contralateral side (P < .05). The healthy volunteers without the block showed no significant change (from 10.1 +/- 0.8 mL/min/100 g to 10.3 +/- 0.7 mL/min/100 g). CONCLUSIONS: Our study suggests that stellate ganglion block may increase the contralateral regional skin blood flow.
Author Osawa, Masami
Toda, Hiroshi
Fukuda, Kazuhiko
Kakuyama, Masahiro
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Copyright 2000 American Society of Regional Anesthesia and Pain Medicine
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Snippet Background and Objectives: It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac...
It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac output, suggesting that the...
BACKGROUND AND OBJECTIVES: It is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac...
BACKGROUND AND OBJECTIVESIt is our hypothesis that stellate ganglion block increases regional blood flow on the blocked side, but does not change cardiac...
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SubjectTerms Adult
Aged
Face - blood supply
Female
Functional Laterality - physiology
Ganglionic Blockers
Humans
Male
Middle Aged
Nerve Block
Regional anesthesia
Regional Blood Flow - physiology
Stellate Ganglion
Supine Position
Title The bilateral effect of stellate ganglion block on the facial skin blood flow
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