• Stellate ganglion blockade for analgesia following upper limb surgery.

      McDonnell, J G; Finnerty, O; Laffey, J G; Department of Anaesthesia and Intensive Care Medicine, Galway University, Hospital, Galway, Ireland. (2012-01-31)
      We report the successful use of a stellate ganglion block as part of a multi-modal postoperative analgesic regimen. Four patients scheduled for orthopaedic surgery following upper limb trauma underwent blockade of the stellate ganglion pre-operatively under ultrasound guidance. Patients reported excellent postoperative analgesia, with postoperative VAS pain scores between 0 and 2, and consumption of morphine in the first 24 h ranging from 0 to 14 mg. While these are preliminary findings, and must be confirmed in a clinical trial, they highlight the potential for stellate ganglion blockade to provide analgesia following major upper limb surgery.