The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Hemodynamic Changes on Stellate Ganglion Block Measured by Bioimpedance Method

성상신경절 차단시 Bioimpedance를 이용한 혈액학적 변화의 측정

  • Kwak, Dong-Myeon (Department of Anesthesiology, School of Medicine, Kyungpook National University) ;
  • Kim, Si-Oh (Department of Anesthesiology, School of Medicine, Kyungpook National University) ;
  • Hong, Jung-Gil (Department of Anesthesiology, School of Medicine, Kyungpook National University) ;
  • Park, Jin-Woong (Department of Anesthesiology, School of Medicine, Kyungpook National University)
  • 곽동면 (경북대학교 의과대학 마취과학교실) ;
  • 김시오 (경북대학교 의과대학 마취과학교실) ;
  • 홍정길 (경북대학교 의과대학 마취과학교실) ;
  • 박진웅 (경북대학교 의과대학 마취과학교실)
  • Published : 1996.11.23
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Abstract

Stellate ganglion block which usually practiced in pain clinics may combined with hemodynamic changes because it blocks sympathetic nerve chains. We measured the hemodynamic changes with NCCOM3-$R7^{(R)}$ (BOMED, U.S.A.) which applicated bioimpedance method in twenty-two patients. Mean arterial pressure, heart rate, cardiac output, ejection fraction and left ventricle end diastolic volume (LEDV) were measured before stellate ganglion block (control), 1, 3, 5, 10 and 20 minutes after stellate ganglion block with 8 ml of 0.25% bupivacaine. The results were as follows: Mean arterial pressure decreased significantly (p<0.05) in 10, 20 minutes after stellate ganglion block comparing to control, but not clinically significant. Heart rate, cardiac output, ejection fraction and LVEDV showed no significant change compared to control value. These results showed that stellate ganglion block is a safe technique without significant hemodynamic changes.

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