|LETTER TO EDITOR
|Year : 2010 | Volume
| Issue : 5 | Page : 480
Locked-in syndrome after stellate ganglion block
Pain Relief Service, Tata Motors Hospital, Jamshedpur - 831 004, India
|Date of Web Publication||9-Oct-2010|
Duplex-63, Vijaya Heritage Phase-6, Uliyan Kadma, Jamshedpur - 831 005
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Jadon A. Locked-in syndrome after stellate ganglion block. Indian J Anaesth 2010;54:480
Firstly, I appreciate the prompt management of patients, which avoided catastrophe even after the intra-arterial injection of the local anaesthetic solution. However, I have to make a few comments regarding their approach and put forth a few suggestions.
- It is an accepted fact that the previously suggested paratracheal technique,  which authors' have used, resulted in many serious complications. Therefore, fluoroscopic-guided techniques are standard practice today.
- During the repeat injection, the authors used fluoroscopy and contrast with a safe and effective outcome. However, their suggestion that fluoroscopy should be used in difficult cases only is not appropriate.
- We do not know in which patient intra-arterial injection may take place as the negative aspiration test is not foolproof. ,
- I feel that the morbidity which occurred due to the "locked-in syndrome" and other serious side-effects that may occur during stellate ganglion block could be avoided if contrast injection and fluoroscopy are used in every patient, irrespective of subjective assessment of easy or difficult case.
| References|| |
|1.||Carron H, Litwiller R. Stellate ganglion block. Anesth Analg 1975;54:567-8. [PUBMED] [FULLTEXT] |
|2.||Korevaar WC, Burney RG, Moore PA. Convulsion during stellate ganglion block. A case report. Anesth Analg 1979;58:329-30. [PUBMED] [FULLTEXT] |
|3.||Tóz M, Erodlu F, Dodru H, Uygur K, Yavuz L. Transient locked-in syndrome resulting from stellate ganglion block in the treatment of patients with sudden hearing loss. Acta Anaesthesiol Scand 2003;47:485-7. |