https://www.asra.com/news-publications/asra-newsletter/newsletter-item/asra-news/2020/08/01/how-i-do-it-stellate-ganglion-blocks
A technical challenge that practitioners may encounter when performing an ultrasound-guided stellate ganglion block is the proper identification of the C6 and C7 transverse process. We recommend supplementing this technique by scanning from the supraclavicular plexus to the interscalene plexus and following the nerve roots into the

https://www.nysora.com/pain-management/ultrasound-guided-cervical-sympathetic-block/
Stellate ganglion block (SGB) is performed for the management of patients for a variety of pain conditions, including complex regional pain syndrome and peripheral vascular disease [1, 2]. The most widely practiced approach to SGB is the paratracheal approach, in which the needle is inserted toward the anterior tubercle of the cervical sixth vertebra (Chassaignac tubercle) [3]. This approach

https://www.youtube.com/watch?v=DRJwi0r8PT8
Explore the core techniques of ultrasound-guided stellate ganglion block in this concise educational video designed for physicians. Learn step-by-step guidan

https://www.youtube.com/watch?v=B6ROeVFUJSY
In this video, we discuss the anatomy, sonoanatomy, indications, technique and complications related to ultrasound guided stellate ganglion block, as well as

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308173/
Kapral S, Krafft P, Gosch M, et al Ultrasound imaging for stellate ganglion block: direct visualization of puncture site and local anesthetic spread. ... Bhatia A, Abbas S, et al Development and validation of a new technique for ultrasound-guided stellate ganglion block. Reg Anesth Pain ... Correa A, Cheung W, et al Stellate ganglion nerve

https://www.asra.com/news-publications/asra-updates/blog-landing/legacy-b-blog-posts/2019/08/06/stellate-ganglion-block
In 80% of individuals the inferior cervical ganglion is fused with the first thoracic ganglion, forming the stellate ganglion, whose oval shape measures 2.5 cm long, 1 cm wide and 0.5 cm thick. [5] It is usually located behind the subclavian artery in front of the first rib [4] and lateral to the longus colli muscle.

https://pubmed.ncbi.nlm.nih.gov/24760493/
Abstract. Cervical sympathetic and stellate ganglion blocks (SGB) provide a valuable diagnostic and therapeutic benefit to sympathetically maintained pain syndromes in the head, neck, and upper extremity. With the ongoing efforts to improve the safety of the procedure, the techniques for SGB have evolved over time, from the use of the standard

https://emedicine.medscape.com/article/1819950-overview
The more common indications include complex regional pain syndrome of the upper extremity and face and vascular disorders. This technique was first described as a blind procedure using landmarks. There have been a number of techniques described and developed using different imaging modalities and approaches to block the stellate ganglion.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11191948/
The aim of this study is to estimate the normal cross-sectional area and diameter of the stellate ganglion (SG) by ultrasound (US) in healthy adults. The study sample included 80 stellate ganglia in 40 participants (15 males, 25 females), mean age 38 years, mean height 162.5 cm, mean weight 67.8 kg, mean body mass index 25.4 kg/m 2 .

https://link.springer.com/article/10.1007/s11916-014-0424-5
Cervical sympathetic and stellate ganglion blocks (SGB) provide a valuable diagnostic and therapeutic benefit to sympathetically maintained pain syndromes in the head, neck, and upper extremity. With the ongoing efforts to improve the safety of the procedure, the techniques for SGB have evolved over time, from the use of the standard blind technique, to fluoroscopy, and recently to the

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799607/
Stellate ganglion block (SGB) is a common intervention in the diagnosis and management of sympathetically mediated pain and vascular insufficiency of the upper extremities, head, and neck. This block has also been used for the treatment of phantom pain, postherpetic neuralgia, cancer pain, cardiac arrhythmias, orofacial pain, and vascular headache.

https://journals.lww.com/md-journal/fulltext/2024/06210/sonographic_imaging_of_the_stellate_ganglion_in.24.aspx
The aim of this study is to estimate the normal cross-sectional area and diameter of the stellate ganglion (SG) by ultrasound (US) in healthy adults. The study sample included 80 stellate ganglia in 40 participants (15 males, 25 females), mean age 38 years, mean height 162.5 cm, mean weight 67.8 kg, mean body mass index 25.4 kg/m 2 .

https://journals.lww.com/anesthesia-analgesia/Fulltext/2007/08000/A_New_Approach_of_Ultrasound_Guided_Stellate.75.aspx
Ultrasound-guided C6 stellate ganglion block (C6-SGB) was first described by Kapral et al. in 1995 ( 1 ). According to their report, a 22-guage needle was inserted toward the transverse process of C6 under ultrasound guidance using a high-frequency linear transducer. Regrettably, their ultrasound technique has not prevailed because linear

https://www.sonosite.com/ca/video-and-image-content/how-stellate-ganglion-block
This videos discusses some of the scanning techniques involved when performing a stellate ganglion nerve block under ultrasound guidance.

https://journals.lww.com/rca/Fulltext/2015/43040/Ultrasound_guided_stellate_ganglion_block_.4.aspx
Introduction. The stellate ganglion block is a frequently used technique for the treatment of chronic pain. It was originally described in the 1930s by Leriche in the US and by Fontaine in Europe, 1 to relieve causalgic pain and the reflex sympathetic dystrophy of the upper limbs. Whilst fluoroscopy is a reliable method for identifying the nerve structures, ultrasound allows for the

https://rapm.bmj.com/content/20/4/323
Background and Objectives. Stellate ganglion block (SGB) inhibits sympathetic innervation and is a common treatment for reflex sympathetic dystrophy. During the positioning of the needle, there is a risk of injury to the adjacent structures. The aim of the study was to develop an ultrasonographic imaging technique for the performance of SGB. Methods. Twelve patients (ASA I-II) underwent SGB

https://www.asra.com/news-publications/asra-updates/blog-landing/legacy-b-blog-posts/2019/08/06/ultrasound-guided-blocks-for-chronic-pain-management---peripheral-structures
Advantages of the Ultrasound Guided Technique. Imaging and cadaver studies show that there is ... Ultrasound is an excellent imaging tool to visualize the abdominal muscle layers and ultrasound-guided nerve block has been validated ... Fujiwara Y, Komatsu T. A new approach of ultrasound-guided stellate ganglion block. Anesth Analg 2007; 105:550

https://pubmed.ncbi.nlm.nih.gov/35361549/
2 Department of Anesthesiology, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, 010030, China. Electronic address: 804905964@qq.com. Keywords: A visual teaching method; Stellate ganglion block; Ultrasound-guided.

https://www.emra.org/emresident/article/stellate-ganglion-block-for-v-fib/
The patient remained in refractory ventricular fibrillation. At this point a stellate ganglion block was performed with ongoing CPR. The stellate ganglion was localized using ultrasound at the level of C4/C5. A total of 5 cc of 2% lidocaine was injected. At pulse check the patient remained in ventricular fibrillation.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944155/
The stellate ganglion is a sympathetic ganglion, approximately 2.5 cm in length, 1 cm in width and 0.5 cm in thickness. It is located in front of the neck of the first rib and can extend to the seventh cervical spine (C7) . Yu et al. reported that ultrasound-guided SGB could effectively relieve cervical headache . However, the time point of

https://www.sciencedirect.com/science/article/pii/S2256208714001114
Introduction. The stellate ganglion block is a frequently used technique for the treatment of chronic pain. It was originally described in the 1930s by Leriche in the US and by Fontaine in Europe, 1 to relieve causalgic pain and the reflex sympathetic dystrophy of the upper limbs. Whilst fluoroscopy is a reliable method for identifying the nerve structures, ultrasound allows for the

https://link.springer.com/article/10.1007/s11916-024-01285-9
The stellate ganglion block operation is simple, and the presence of Horner syndrome after the block can be regarded as a sign of a successful block. Lopes and Fischer . reported that a procain stellate ganglion block successfully treated a patient with severe trigeminal neuralgia. After ultrasound and other imaging guidance, the accuracy and

https://www.youtube.com/watch?v=k18pTJIEWT8
Visit www.sonosite.co.uk/education for more videos like this. Fluoroscopy can be used to guide a stellate ganglion nerve block. But as Dr. Michael Verdolin e

https://pubmed.ncbi.nlm.nih.gov/35331152/
Objective: To observe whether ultrasound-guided stellate ganglion block (SGB) can effectively relieve migraine pain and improve the quality of migraine patients' life. Methods: 81 patients with migraines were enrolled in this study. The patients received SGB with 6 ml of 0.15% ropivacaine once every week for four times. Migraine was assessed with the Migraine Disability Assessment Scale (MIDAS

https://theprocedureguide.com/fluoroscopic-guided-stellate-ganglion-block-technique-and-overview/
Stellate ganglion block with contrast at C6 under fluoroscopy. Obtain an AP view and identify C6. Identify the first rib to see T12 and count up from there. Alternatively, count from the top: Tilt the c-arm to match the cervical curvature so you can count one level at a time. Level off C6.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424037/
Horizontal ultrasound imaging of the stellate ganglion block. SCM, sternocleidomastoid muscle; IJV, internal jungle vein; CA, carotid artery; Lco, longus colli muscle, C6TP, transverse processes of the sixth cervical vertebra. ... USA) by an attending anesthesiologist familiar with the ultrasound-guided nerve block. First, the patient was