scholarly journals The Successful Use of Left-sided Stellate Ganglion Block in Patients That Fail to Respond to Right-sided Stellate Ganglion Block for the Treatment of Post-traumatic Stress Disorder Symptoms: A Retrospective Analysis of 205 Patients

2021 ◽  
Author(s):  
Sean W Mulvaney ◽  
James H Lynch ◽  
Kamisha E Curtis ◽  
Tamara S Ibrahim
Keyword(s):  
Stress Disorder ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Retrospective Chart Review ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Ganglion Block ◽  
Post Traumatic ◽  
Cervical Sympathetic ◽  
Fight Or Flight Response

ABSTRACT Introduction Ultrasound-guided stellate ganglion block (SGB) is an injection of local anesthetic (8mL of 0.5% ropivacaine) in the neck to temporarily block the cervical sympathetic trunk which controls the body’s fight-or-flight response. This outpatient procedure takes less than thirty minutes and is immediately effective. Our goal was to determine if a left-sided stellate ganglion block is effective for treating posttraumatic stress disorder (PTSD) symptoms. While right-sided SGB has been extensively studied, left-sided SGB has not been formally evaluated for this indication. Materials and Methods Our hypothesis was that patients who fail to improve following a right-sided SGB will report significant improvement following a left-sided SGB. A retrospective chart review was conducted for patients who received SGB for PTSD symptoms between August 2019 and March 2020. All procedures were performed at an established musculoskeletal practice by the same anesthesia/pain fellowship-trained physician. Subjects included those who underwent a left-sided SGB (LSGB) only after non-response to a right-sided SGB (RSGB). Non-response was defined as less than 10 points of improvement on a PTSD Checklist (PCL-5). Results Out of 205 patients, 20 did not respond to an RSGB and were included in our analysis. Ten of these patients subsequently received an LSGB, and 90% responded favorably (PCL-5 mean improvement = 28.3 points). Conclusions Based on our sample of 205 patients receiving SGB for PTSD, we concluded that at least 4.4% did not respond to a right-sided SGB but did have a significant response to a left-sided SGB.

scholarly journals Effect of Stellate Ganglion Block on Specific Symptom Clusters for Treatment of Post-Traumatic Stress Disorder

2016 ◽  
Vol 181 (9) ◽  
pp. 1135-1141 ◽  
Author(s):  
James H. Lynch ◽  
Sean W. Mulvaney ◽  
Eugene H. Kim ◽  
Jason B. de Leeuw ◽  
Matthew J. Schroeder ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Symptom Clusters ◽  
Post Traumatic Stress ◽  
Ganglion Block ◽  
Specific Symptom ◽  
Post Traumatic

scholarly journals Behavioral health clinicians endorse stellate ganglion block as a valuable intervention in the treatment of trauma-related disorders

2021 ◽  
pp. jim-2020-001693
Author(s):  
James H Lynch ◽  
Peter D Muench ◽  
John C Okiishi ◽  
Gary E Means ◽  
Sean W Mulvaney
Keyword(s):  
Behavioral Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Military Service ◽  
Stress Disorder ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Post Traumatic Stress ◽  
Ganglion Block ◽  
Post Traumatic

The stellate ganglion block (SGB) procedure has been used successfully for over 10 years to treat post-traumatic stress symptoms in thousands of US military service members, civilians, and veterans in select hospitals in Europe and North America. Primarily through targeting the autonomic nervous system, the SGB procedure serves as an invaluable adjunct to trauma-focused psychotherapy. Without published best practices for emerging therapies, clinicians are left on their own to determine how best to apply new treatments to their patient populations. The aim of this qualitative research was to compile attitudes and recommendations from therapists with expertise in using SGB for treating symptoms of post-traumatic stress disorder, so that their experiences could be disseminated widely to clinicians without SGB expertise. An 18-item survey was developed and distributed electronically to a group of behavioral health professionals of various specialties between May and June 2020. Of surveyed behavioral health clinicians with personal experience incorporating SGB into their trauma-focused psychotherapy, 95% of respondents would recommend SGB to a colleague as a useful tool for the treatment of trauma-related disorders. SGB was rated at least as useful as the most valuable interventions listed in the American Psychological Association Clinical Practice Guideline for the Treatment of Post-traumatic Stress Disorder with 100% of respondents characterizing SGB as ‘Very Beneficial’ or ‘Somewhat Beneficial’, and 0 respondents characterizing SGB as ‘Not Helpful’ or ‘Harmful’. Given the feedback from this study, behavioral health providers should consider using SGB in conjunction with standard trauma-focused care.

scholarly journals A Novel Application of Stellate Ganglion Block: Preliminary Observations for the Treatment of Post-Traumatic Stress Disorder

2012 ◽  
Vol 177 (2) ◽  
pp. 125-127 ◽  
Author(s):  
Eugene G. Lipov ◽  
Maryam Navaie ◽  
Eric T. Stedje-Larsen ◽  
Kevin Burkhardt ◽  
Jessica C. Smith ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Post Traumatic Stress ◽  
Ganglion Block ◽  
Post Traumatic
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