Indian Journal of Anaesthesia

CASE REPORT
Year
: 2019  |  Volume : 63  |  Issue : 10  |  Page : 851--855

Multiple bilateral ultrasound-guided stellate ganglion blocks to treat acute vasculitis in a recently diagnosed patient of systemic lupus erythematosus


Jyotsna Punj 
 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Jyotsna Punj
Department of Anaesthesiology, Pain and Critical Care, All India Institute of Medical Sciences, Room No 5016, Academic Block, New Delhi - 110 029
India

Medical management along with stellate ganglion block is frequently given to prevent the vasculitis of fingers in patients of systemic lupus erythematosus (SLE). Bilateral stellate ganglion block is rarely given due to the concern of phrenic and recurrent laryngeal nerve palsy. In this article, we describe the management of a recently diagnosed SLE patient presented with progressive gangrene of fingers of both upper limbs. Meticulously planned serial bilateral ultrasound-guided stellate ganglion blocks were successfully given to prevent impending loss of digits with no complications.


How to cite this article:
Punj J. Multiple bilateral ultrasound-guided stellate ganglion blocks to treat acute vasculitis in a recently diagnosed patient of systemic lupus erythematosus.Indian J Anaesth 2019;63:851-855


How to cite this URL:
Punj J. Multiple bilateral ultrasound-guided stellate ganglion blocks to treat acute vasculitis in a recently diagnosed patient of systemic lupus erythematosus. Indian J Anaesth [serial online] 2019 [cited 2019 Nov 21 ];63:851-855
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2019;volume=63;issue=10;spage=851;epage=855;aulast=Punj;type=0