Skip Navigation



BJA Advance Access published online on April 22, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei134
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
94/6/840    most recent
aei134v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Kimura, T.
Right arrow Articles by Shimada, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kimura, T.
Right arrow Articles by Shimada, Y.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org
Accepted November 23, 2004

Case Report

Severe hypertension after stellate ganglion block

T. Kimura 1*, K. Nishiwaki 1, S. Yokota 1, T. Komatsu 2, and Y. Shimada 1

1 Department of Anesthesiology, Nagoya University Graduate School and Faculty of Medicine, Tsuruma-cho 65, Showa-ku, Nagoya, 466-8550, Japan
2 Department of Anesthesiology, Aichi Medical University School of Medicine, Nagakute, Aichi, 480-1195, Japan

* To whom correspondence should be addressed.
T. Kimura, E-mail: tomo{at}masuika.jp


  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.

Keywords: anaesthetic technique, regional; stellate ganglion; anatomy, stellate ganglion; arterial pressure, hypertension.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
Y.-K. Kim, G.-S. Hwang, I.-Y. Huh, J.-H. Hwang, J.-Y. Park, S.-L. Chung, T.-W. Kwon, and S.-M. Han
Altered autonomic cardiovascular regulation after combined deep and superficial cervical plexus blockade for carotid endarterectomy.
Anesth. Analg., September 1, 2006; 103(3): 533 - 539.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.