Prevention of Postoperative Palpebral Edema by Stellate Ganglion Block in Patients Undergoing Intracranial Aneurysm Surgery_West China Medical Journal

Authors：

 TengYi , OuMengchan ,  LiYu

Department of Anesthesia, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LiYu, Email: biaojieli@tom.com

Keywords：

Stellate ganglion; Nerve block; Intracranial aneurysm; Palpebra; Edema

DOI：

10.7507/1002-0179.201600132

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the efficacy of stellate ganglion block (SGB) on postoperative palpebral edema in patients undergoing intracranial aneurysm surgery. Methods Sixty patients who were scheduled to undergo intracranial aneurysm surgery between September 2012 and Novermber 2014 were recruited, and were assigned into 2 groups randomly with 30 in each:SGB group and control group. Patients in SGB group were administered SGB by injecting 0.3% ropivacaine on the operative side under the ultrasound guidance after surgery completed, while patients in the control group received injection of saline on the operative side under the ultrasound guidance. Incidence of postoperative palpebral edema at hour 24, 48, and 72 after surgery were measured. Numerical rating scale (NRS) was used to detect the severity of uncomfortable symptoms for palpebral swelling during rest state. The severity of palpebral edema was evaluated with continuous rating scale (0-5, 0 indicated normal palpebral, and higher score indicated more serious palpebral edema). Complications related with SGB were recorded. Results The overall incidence of palpebral edema at hour 24 after surgery in SGB group was lower than that in the control group (P<0.05). There was no statistically significant difference in the overall incidence of palpebral edema at hour 48 and 72 after surgery between the two groups (P>0.05). The palpebral edema rating scores of the SGB group at hour 24 after surgery were lower than those of the control group (P<0.01).The incidence of palpebral edema which was scored 3 or more at hour 24 and 48 after surgery in SGB group was lower than that in the control group (P<0.05). No statistically significant difference was found in the incidence of palpebral edema which was scored 3 or more at hour 72 after surgery between the two groups (P>0.05). No complication related with SGB was found. Conclusion SGB can safely reduce the incidence of postoperative palpebral edema in patients undergoing intracranial aneurysm surgery, and reduce the severity of palpebral edema.

Citation： TengYi, OuMengchan, LiYu. Prevention of Postoperative Palpebral Edema by Stellate Ganglion Block in Patients Undergoing Intracranial Aneurysm Surgery. West China Medical Journal, 2016, 31(3): 499-502. doi: 10.7507/1002-0179.201600132 Copy

1.	Gupta MM, Bithal PK, Dash HH, et al. Effects of stellate ganglion block on cerebral haemodynamics as assessed by transcranial Doppler ultrasonography[J]. Br J Anaesth, 2005, 95(5):669-673.
2.	王賢裕, 王清秀, 傅南安, 等. 星狀神經節阻滯對兔血漿去甲腎上腺素濃度的影響[J]. 中華麻醉學雜志, 2001, 21(7):420-422.
3.	Bindra A, Prabhakar H, Singh GP. Stellate ganglion block for relieving vasospasms after coil embolization of basilar tip aneurysms[J]. J Neurosurg Anesthesiol, 2011, 23(4):379.
4.	章放香, 殷稅香, 賀純靜. 星狀神經節阻滯對顱內動脈瘤手術患者腦血管痙攣的影響[J]. 中華麻醉學雜志, 2011, 31(6):729-731.
5.	代旭平, 栗志兵, 王津甫, 等. 超聲引導與傳統穿刺行星狀神經節阻滯的比較[J]. 臨床麻醉學雜志, 2011, 27(1):78-79.
6.	楊帆, 楊邦祥, 肖紅, 等. 初學者超聲引導下星狀神經節阻滯與傳統星狀神經節阻滯準確性與安全性比較[J]. 中國疼痛醫學雜志, 2008, 14(6):374-375.
7.	Claassen J, Bernardini GL, Kreiter K, et al. Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid hemorrhage:the Fisher scale revisited[J]. Stroke, 2001, 32(9):2012-2020.
8.	Zhang L, Yao J, Zhang T, et al. Stellate ganglion block may prevent the development of neurogenic pulmonary edema and improve the outcome[J]. Med Hypotheses, 2013, 80(2):158-161.
9.	劉維剛. 星狀神經節阻滯治療妊高征效果的臨床研究[J]. 中國醫藥導報, 2012, 9(22):69-70, 73.
10.	Elias M. Cervical sympathetic and stellate ganglion blocks[J]. Pain Physician, 2000, 3(3):294-304.
11.	Bonvento G, Lacombe P, Mackenzie ET, et al. Differential effects of electrical stimulation of the dorsal raphe nucleus and of cervical sympathectomy on serotonin and noradrenaline concentrations in major cerebral arteries and pial vessels in the rat[J]. J Cereb Blood Flow Metab, 1990, 10(1):123-126.
12.	楊帆, 蔣鵬飛. 不同濃度甲磺酸羅哌卡因的星狀神經節阻滯效果[J]. 華西醫學, 2014, 29(7):1248-1251.
13.	Schwartz PJ, Locati EH, Moss AJ, et al. Left cardiac sympathetic denervation in the therapy of congenital long qt syndrome-a worldwide report[J]. Circulation, 1991, 84(2):503-511.
14.	Lipov EG, Joshi JR, Sanders S, et al. Effects of stellate-ganglion block on hot flushes and night awakenings in survivors of breast cancer:a pilot study[J]. Lancet Oncol, 2008, 9(6):523-532.
15.	全守波, 王清秀, 劉菊英, 等. 星狀神經節阻滯對全腦缺血再灌注損傷家兔海馬及顳葉皮質熱休克蛋白70表達的影響[J]. 中華麻醉學雜志, 2004, 24(2):133-137.

1. Gupta MM, Bithal PK, Dash HH, et al. Effects of stellate ganglion block on cerebral haemodynamics as assessed by transcranial Doppler ultrasonography[J]. Br J Anaesth, 2005, 95(5):669-673.
2. 王賢裕, 王清秀, 傅南安, 等. 星狀神經節阻滯對兔血漿去甲腎上腺素濃度的影響[J]. 中華麻醉學雜志, 2001, 21(7):420-422.
3. Bindra A, Prabhakar H, Singh GP. Stellate ganglion block for relieving vasospasms after coil embolization of basilar tip aneurysms[J]. J Neurosurg Anesthesiol, 2011, 23(4):379.
4. 章放香, 殷稅香, 賀純靜. 星狀神經節阻滯對顱內動脈瘤手術患者腦血管痙攣的影響[J]. 中華麻醉學雜志, 2011, 31(6):729-731.
5. 代旭平, 栗志兵, 王津甫, 等. 超聲引導與傳統穿刺行星狀神經節阻滯的比較[J]. 臨床麻醉學雜志, 2011, 27(1):78-79.
6. 楊帆, 楊邦祥, 肖紅, 等. 初學者超聲引導下星狀神經節阻滯與傳統星狀神經節阻滯準確性與安全性比較[J]. 中國疼痛醫學雜志, 2008, 14(6):374-375.
7. Claassen J, Bernardini GL, Kreiter K, et al. Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid hemorrhage:the Fisher scale revisited[J]. Stroke, 2001, 32(9):2012-2020.
8. Zhang L, Yao J, Zhang T, et al. Stellate ganglion block may prevent the development of neurogenic pulmonary edema and improve the outcome[J]. Med Hypotheses, 2013, 80(2):158-161.
9. 劉維剛. 星狀神經節阻滯治療妊高征效果的臨床研究[J]. 中國醫藥導報, 2012, 9(22):69-70, 73.
10. Elias M. Cervical sympathetic and stellate ganglion blocks[J]. Pain Physician, 2000, 3(3):294-304.
11. Bonvento G, Lacombe P, Mackenzie ET, et al. Differential effects of electrical stimulation of the dorsal raphe nucleus and of cervical sympathectomy on serotonin and noradrenaline concentrations in major cerebral arteries and pial vessels in the rat[J]. J Cereb Blood Flow Metab, 1990, 10(1):123-126.
12. 楊帆, 蔣鵬飛. 不同濃度甲磺酸羅哌卡因的星狀神經節阻滯效果[J]. 華西醫學, 2014, 29(7):1248-1251.
13. Schwartz PJ, Locati EH, Moss AJ, et al. Left cardiac sympathetic denervation in the therapy of congenital long qt syndrome-a worldwide report[J]. Circulation, 1991, 84(2):503-511.
14. Lipov EG, Joshi JR, Sanders S, et al. Effects of stellate-ganglion block on hot flushes and night awakenings in survivors of breast cancer:a pilot study[J]. Lancet Oncol, 2008, 9(6):523-532.
15. 全守波, 王清秀, 劉菊英, 等. 星狀神經節阻滯對全腦缺血再灌注損傷家兔海馬及顳葉皮質熱休克蛋白70表達的影響[J]. 中華麻醉學雜志, 2004, 24(2):133-137.

West China Medical Journal

Prevention of Postoperative Palpebral Edema by Stellate Ganglion Block in Patients Undergoing Intracranial Aneurysm Surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content