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Thermographic assessment of stellate ganglion block effectiveness during cardiosurgical procedures

Jan Rogowski, Paweł Mroziński, Dariusz Jagielak, Romuald Lango, Mirosława Narkiewicz, Maria Wujtewicz

Med Sci Monit 2000; 6(2): MT407-410 :: ID: 508558

Abstract

The study present thermographic assessment of the effectiveness of temporary stellate blockade performed during cardiosurgical procedures. The assumption behind this method was the increase in the temperature of upper extremity on the side of blockade, due to the broadening of arterial bed. Material and method: The study was conducted on a group of 30 patients (21 men and 9 women) operated due to coronary disease involving three vessels. Mean age of the patients was 53 years. After introduction of anaesthesia blockade were performed with 2 ml 2% lignocainum and 8 ml 0.5% bupivacaine solution using peratracheal aproach. Blockade effectiveness was assessed on the basis of images obtained in thermovisual camera, comparing the temperatures of upper extremity before and within 15 minutes after performing the blockade. Free blood outflow from radial artery, its diameter and length were also evaluated. The results obtained were subject to statistical analysis. Results:Twenty-three patients (76.6%) displayed the increase in the temperature of upper extremity by 1Ð3¡C. Free blood outflow from radial artery was greater in this group than in the remaining patients. Conclusions:Thermography is a useful method for the assessment of stellate blockade effectiveness. Effective blockade results in the increased blood flow in radial artery.

Keywords: Radial Artery, Thermography, stellate ganglion block

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750