Key result
Ultrasound-guided bilateral stellate ganglion blocks successfully terminated medically refractory ventricular arrhythmias at the bedside in the ICU, sparing transport to a fluoroscopy suite.
Why the study?
Does ultrasound-guided bilateral stellate ganglion block terminate medically refractory ventricular arrhythmias in an ICU patient?
Case Report (n=1)
Does ultrasound-guided bilateral stellate ganglion block terminate medically refractory ventricular arrhythmias in an ICU patient?
Ultrasound-guided bilateral stellate ganglion blocks are a feasible, potentially life-saving bedside intervention for refractory ventricular arrhythmias in the ICU.
Answers are grounded in this paper and cite their sources.
May enable bedside termination of refractory ventricular arrhythmias in the ICU; hypothesis-generating and should not yet change practice.
OBJECTIVES: To describe the successful treatment of medically refractory ventricular arrhythmias in the ICU with ultrasound-guided bilateral stellate ganglion blocks. DATA SOURCES: The data were gathered from the medical record. STUDY SELECTION: This case was selected as it describes the use of ultrasound in the successful termination of a recurrent, malignant arrhythmia, rather than fluoroscopy, to perform bilateral stellate ganglion blocks at the patient's bedside in the ICU. DATA EXTRACTION: The data were extracted from the medical record. DATA SYNTHESIS: The data were synthesized from the patient's medical record. CONCLUSIONS: Performance of stellate ganglion blocks at the bedside in the ICU is feasible for patients who are suffering from refractory ventricular arrhythmias. This potentially life-saving block can be performed using ultrasound guidance, sparing the patient transport to a fluoroscopy suite.
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Scanlon et al. (2015) conducted a case report in Medically refractory ventricular arrhythmias (n=1). Ultrasound-guided bilateral stellate ganglion blocks was evaluated on Termination of recurrent, malignant arrhythmia. Ultrasound-guided bilateral stellate ganglion blocks successfully terminated medically refractory ventricular arrhythmias at the bedside in the ICU, sparing transport to a fluoroscopy suite.
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