Stellate ganglion block as a complementary therapeutic modality for arterial thrombosis in upper limb of a neonate

Abstract

Stellate ganglion block or lower cervical sympathetic block is an interventional procedure, in which a local anesthetic is injected to the sympathetic trunk of the neck, for adjustment of autonomic tone in head, neck and the upper extremity. This procedure is frequently used as a complementary therapeutic modality in a variety of complex heterogeneous problems. We report a case of rapid onset radial and brachial artery thrombosis, which developed in a neonate patient after multiple attempts for a peripheral venous access by cannulation. The condition was diagnosed with Doppler ultrasound, and was successfully managed with stellate ganglion block along with intravenous administration of an anticoagulant. Citation: Taheri M, Radfar M, Tabasi S, Alijanpour E, Jabbari A. Stellate ganglion block as a complementary therapeutic modality for arterial thrombosis in upper limb of a neonate. Anaesth pain & intensive care 2019;23(4)__ Received: 22 July 2019; Reviewed: 18 August, 15 November 2019; Revised: 2 December 2019; Accepted: 6 December 2019