Stellate ganglion block in the treatment of ischemic syndrome in an upper limb due to accidental intra-arterial injection of pharmacologic substances or narcotics
De Gasperis, A.; Cosimati, F.; Lorenzetti, A.; Rossini, P.
Minerva Anestesiologica 56(12): 1443-1445
1990
ISSN/ISBN: 0375-9393 PMID: 2100323 Document Number: 353363
The paper describes five cases of accidental intraarterial injection of pharmacological drugs (diazepam or thiopentone) or dope (heroin) in an upper limb. Following a review of the physiopathological mechanisms which led to ischemic damage, the Authors outline a protocol of continuous pharmacological sympathicolysis in the affected limb, using repeated anesthetic blocks of the homolateral stellate ganglion.