US-Guided Stellate Ganglion Block In Refractory VT

Proposal Number:

MCC-7131 

Proposal Type:

Medically Challenging Case Report Poster 

Author:

Duran Mitchell  
SUNY At Stony Brook, Department of Anesthesiology

Co-Author(s):

Melia McManus  
SUNY At Stony Brook, Department of Anesthesiology
William Caldwell  
Stony Brook University Hospital

Abstract:

63-year-old male admitted with septic shock with ongoing respiratory failure who was status post-tracheostomy placement, NSTEMI, and end stage cardiomyopathy with LVAD and RVAD, impella and IABP with insufficient support that eventually led ECMO. Recurrent and refractory VT with frequent shocks complicated the patient's course. The Cardiothoracic ICU consulted the chronic pain service consulted for a stellate ganglion block, which was performed on three separate occasions. The patient was fully anti-coagulated with a tracheostomy in place, providing a secure airway should bleeding occur. The procedure was well-tolerated with cessation of VT, the longest of which lasted two weeks.
Supporting Image: SGBjpeg.png
   ·Image of Stellate Ganglion Block on Ultrasound with Surrounding Structures from www.nysora.com
 

Professional Category:

Resident/Trainee

Keywords:

Pain Management
Regional

Enter up to two references.

  Reference
1. Rajesh MC, Deepa KV, Ramdas EK. Stellate Ganglion Block as Rescue Therapy in Refractory Ventricular Tachycardia. Anesth Essays Res. 2017;11(1):266-267.
2. Hayase J, Patel J, Narayan SM, Krummen DE. Percutaneous stellate ganglion block suppressing VT and VF in a patient refractory to VT ablation. J Cardiovasc Electrophysiol. 2013;24(8):926-8.