성상신경절 차단 후 발생한 고도의 혈압 상승 −증례 보고

• Published in: Anesthesia and pain medicine (Korean society of anesthesiologists) pp. 221 - 224
• Main Authors: 이청, 박동호, 김영주, 정지현, 황진환, 류재규
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 01.07.2011
• Subjects: 마취과학
• ISSN: 1975-5171; 2383-7977

Stellate ganglion block (SGB) is a procedure that is widely used for many diseases associated with sympathetically-maintained pain in the head, neck, and upper extremities. Various hemodynamic changes may occur after SGB. Among them, we experienced two patients who developed highly increased blood pressure after SGB. We suspect that the spread of local anesthetics produced parasympathetic blockade of the vagus nerve, an imbalance between the sympathetic and parasympathetic activities and deafferentiation of the glossopharyngeal and vagus nerve, which both innervated the carotid sinus, as the mechanism of this increased blood pressure. (Anesth Pain Med 2011; 6: 221∼224) KCI Citation Count: 1