1Department of Anesthesiology, Mayo Clinic, Rochester, MN. 2Division of Cardiothoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN. 3Department of Cardiovascular Disease, Mayo Clinic, Rochester, MN.
Crit Care Med. 2015 Aug;43(8):e316-8. doi: 10.1097/CCM.0000000000001086.
To describe the successful treatment of medically refractory ventricular arrhythmias in the ICU with ultrasound-guided bilateral stellate ganglion blocks.
The data were gathered from the medical record.
This case was selected as it describes the use of ultrasound in the successful termination of a recurrent, malignant arrhythmia, rather than fluoroscopy, to perform bilateral stellate ganglion blocks at the patient's bedside in the ICU.
The data were extracted from the medical record.
The data were synthesized from the patient's medical record.
Performance of stellate ganglion blocks at the bedside in the ICU is feasible for patients who are suffering from refractory ventricular arrhythmias. This potentially life-saving block can be performed using ultrasound guidance, sparing the patient transport to a fluoroscopy suite.
描述在 ICU 中使用超声引导双侧星状神经节阻滞成功治疗药物难治性室性心律失常。
资料来源于病历。
选择该病例是因为它描述了使用超声成功终止复发性恶性心律失常，而不是透视引导，在 ICU 床边对患者进行双侧星状神经节阻滞。
资料从病历中提取。
资料从患者的病历中综合得出。
在 ICU 床边为患有难治性室性心律失常的患者进行星状神经节阻滞是可行的。这种有潜在救生作用的阻滞可以使用超声引导进行，而无需将患者转运到透视室。
