星状神经节阻滞作为小儿复发性尖端扭转型室速的挽救治疗及手术交感神经切除术的桥梁：一例报告
Stellate Ganglion Blockade as Rescue Therapy for Recurrent Torsades de Pointes and as a Bridge to Surgical Sympathectomy in a Pediatric Patient: A Case Report.
作者信息
McWhirter Ryan, Holly Tsione, Ayad Ihab A, Moore Jeremy P, Biniwale Reshma, Rahman Siamak
机构信息
From the Department of Anesthesia and Perioperative Medicine, University of California Los Angeles (UCLA) David Geffen School of Medicine, UCLA Health System, Los Angeles, California.
Division of Pediatric Cardiology, Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles (UCLA) Cardiac Arrhythmia Center, UCLA Health System, Los Angeles, California.
出版信息
A A Pract. 2025 Jan 20;19(1):e01906. doi: 10.1213/XAA.0000000000001906. eCollection 2025 Jan 1.
Management of refractory ventricular fibrillation (VF) in patients with implantable implantable cardioverter defibrillator (ICD) presents a therapeutic challenge. We present a case of pediatric refractory ventricular tachycardia (VT)/Torsade de Pointe managed effectively with bilateral stellate ganglion block (SGB) with a long-acting local anesthetic for 18 days as a bridge to more definitive surgical management.
对于植入式心脏复律除颤器（ICD）患者的难治性室颤（VF）管理是一项治疗挑战。我们报告一例小儿难治性室性心动过速（VT）/尖端扭转型室速，通过使用长效局部麻醉药进行双侧星状神经节阻滞（SGB）有效治疗18天，作为过渡到更确切手术治疗的桥梁。
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