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Treatment of patients with painful blind eye using stellate ganglion block

Overview of attention for article published in Brazilian Journal of Anesthesiology (English edition), January 2016
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Title
Treatment of patients with painful blind eye using stellate ganglion block
Published in
Brazilian Journal of Anesthesiology (English edition), January 2016
DOI 10.1016/j.bjane.2012.12.009
Pubmed ID
Authors

Tatiana Vaz Horta Xavier, Thiago Robis de Oliveira, Tereza Cristina Bandeira Silva Mendes

Abstract

management of pain in painful blind eyes is still a challenge. Corticosteroids and hypotensive agents, as well as evisceration and enucleation, are some of the strategies employed so far that are not always effective and, depending on the strategy, cause a deep emotional shock to the patient. Given these issues, the aim of this case report is to demonstrate a new and viable option for the management of such pain by treating the painful blind eye with the stellate ganglion block technique, a procedure that has never been described in the literature for this purpose. six patients with painful blind eye, all caused by glaucoma, were treated; in these patients, VAS (visual analogue scale for pain assessment, in which 0 is the absence of pain and 10 is the worst pain ever experienced) ranged from 7 to 10. We opted for weekly sessions of stellate ganglion block with 4mL of bupivacaine (0.5%) without vasoconstrictor and clonidine 1mcg/kg. Four patients had excellent results at VAS, ranging between 0 and 3, and two remained asymptomatic (VAS=0), without the need for additional medication. The other two used gabapentin 300mg every 12h. currently, there are several therapeutic options for the treatment of painful blind eye, among which stand out the retrobulbar blocks with chlorpromazine, alcohol and phenol. However, an effective strategy with low rate of serious complications, which is non-mutilating and improves the quality of life of the patient, is essential. Then, stellate ganglion block arises as a demonstrably viable and promising option to meet this demand.

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Korea, Republic of 1 5%
Unknown 21 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 32%
Other 5 23%
Student > Doctoral Student 2 9%
Student > Bachelor 1 5%
Student > Ph. D. Student 1 5%
Other 3 14%
Unknown 3 14%
Readers by discipline Count As %
Medicine and Dentistry 11 50%
Engineering 2 9%
Psychology 1 5%
Computer Science 1 5%
Agricultural and Biological Sciences 1 5%
Other 2 9%
Unknown 4 18%