Sympathetic Nerve Blocks: Their role in sympathetic pain

摘要: Selective and complete sympathetic block with local anesthetic or neurolytic agents, requires that solution be placed at the chain in such a way as to avoid other surrounding structures. Standard approaches described by Boniea (1) Moore (2), use anatomical landmarks tactile control, promoting high but not perfect success rates. However, pain management, especially those cases receiving injection, it is important no extraneous spreads involve nerves Selective, safe functionally distinct block, either cervical lumbar levels, best performed means of fluoroscopic radiological screening both needle placement subsequent injection. This probably necessary for out patient based stellate blocks, where convenience, simplicity, economy allow volume procedures without undue concern long-term risks aberrant spread. when nerve destruction sought utilising neurolytic, cryogenic, radiofrequency lesions, then X-ray should mandatory.