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首页> 外文期刊>Pain practice: the official journal of World Institute of Pain >An Unusual Complication of Sinus Arrest Following Right-Sided Stellate Ganglion Block:A Case Report
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An Unusual Complication of Sinus Arrest Following Right-Sided Stellate Ganglion Block:A Case Report

机译：一个不寻常的并发症窦性停搏右侧星状神经节块:病例报告

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摘要

We present a case of a 29-year-old female patient who had presented to us for the management of her chronic right shoulder-hand pain and developed a sinus arrest following a right-sided stellate ganglion block (RSGB). This patient on receiving a diagnostic RSGB via the anterior paratracheal (C6) approach developed sinus arrest followed by apnea and unconsciousness. On institution of resuscitative measures involving tracheal intubation, positive pressure ventilation, cardiac massage, and intravenous atropine, spontaneous cardiac activity recovered in about 3 minutes. Other signs and symptoms resolved fully in a total of 10 minutes. She had persistent postural hypotension lasting for about 24 hours requiring bed rest and was discharged about 36 hours after the procedure, without any adverse sequelae. As the sinus node is supplied by the right-sided sympathetic chain, its blockade probably resulted in unopposed parasym-pathetic activity leading to asystole. Available evidence of the role of right stellate ganglion in regulation of cardiac electrophysiology and functioning is also discussed.
机译：我们提出一个29岁女性病患的案例他呈现给我们的管理她吗慢性右肩手疼痛和发达窦性停搏后右侧星状神经节阻断(RSGB)。通过前一个诊断RSGB paratracheal(C6)方法开发窦性停搏紧随其后呼吸暂停和无意识。使复兴的措施包括气管插管,正压通风,心脏按摩,静脉注射阿托品,自发的心脏活动恢复约3分钟。在一个10分钟。体位低血压持续约24小时需要卧床休息并大约36日出院小时后手术,没有任何不良后遗症。右侧交感神经链,它的封锁可能导致未遭遇抵抗parasym-pathetic活动导致心搏停止。正确的星状神经节的作用心脏电生理学和监管功能也进行了讨论。

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