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Urgent Ultrasound-Guided Bilateral Stellate Ganglion Blocks in a Patient With Medically Refractory Ventricular Arrhythmias

Scanlon, Maura M. MD1; Gillespie, Shane M. DO1; Schaff, Hartzell V. MD2; Cha, Yong-Mei MD3; Wittwer, Erica D. MD, PhD1

doi: 10.1097/CCM.0000000000001086
Online Case Report

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.

1Department of Anesthesiology, Mayo Clinic, Rochester, MN.

2Division of Cardiothoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN.

3Department of Cardiovascular Disease, Mayo Clinic, Rochester, MN.

The authors have disclosed that they do not have any potential conflicts of interest.

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