The Korean Journal of Pain
- 제8권1호
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- Pages.60-64
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- 1995
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
성상 신경절 차단에 필요한 국소 마취제의 최소 용량
Minimal Volume of Local Anesthetic for Successful Stellate Ganglion Block
- 이효근 (세란병원 신경통증클리닉) ;
- 정소영 (세란병원 신경통증클리닉) ;
- 양승곤 (세란병원 신경통증클리닉) ;
- 이희전 (남부 제일의원 신경통증클리닉) ;
- 서영선 (아주대학교 의과대학 신경통증클리닉) ;
- 김찬 (세란병원 신경통증클리닉)
- Lee, Hyo-Keun (Neuro-Pain Clinic, Seran Hospital) ;
- Chung, So-Young (Neuro-Pain Clinic, Seran Hospital) ;
- Yang, Seung-Kon (Neuro-Pain Clinic, Seran Hospital) ;
- Lee, Hee-Jeon (Nam Boo Jeil Neuro-Pain Clinic) ;
- Suh, Young-Sun (Neuro-Pain clinic, Aju University College of Medicine) ;
- Kim, Chan (Neuro-Pain Clinic, Seran Hospital)
- 발행 : 1995.04.15
초록
Stellate ganglion block is a selective sympathetic blockade affecting the head and neck, and the upper extemity. It is an important method which has been used most frequently in neuro-pain clinic due to its wide range of indications. The authors attermpted to define the minimal volume of local anesthetic which need for successful stellate ganglion block by using 1% mepivacaine HCl mixed with dye. In 40 heathy volunteers, two different volumes, 3 ml in the group 1 (n=20) and 4 ml in the group 2 (n=20), were injected by an anterior paratracheal technique at the sixth cervical vertebral level. We compared the degree in sympathetic blockade by clinical sings and symptoms and also checked the spread range of dye by plain X-ray. With seven criteria for an effective block. mean score was 5.7 in group 2, while 3.4 in group 1. These results suggest that 4 ml of local anesthetic are adequate for a successful stellate ganglion block.