Preoperative Stellate Ganglion Block for Perioperative Pain in Lateralized Head and Neck Cancer: Preliminary Results
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Daniel Sharbel, MD, Paramvir Singh, MBBS, Daniel Blumenthal, James Sullivan, Anterpreet Dua, MBBS, W. Greer Albergotti, MD, Michael Groves, MD, J. Kenneth Byrd, MDFirst Published December 3, 2019 Research Article
https://doi.org/10.1177/0194599819889688
Article information
No Access
Abstract
Patients with head and neck cancer represent a vulnerable population at particular risk of opioid dependence due to frequent histories of substance abuse, requirement of extensive surgery, and the synergistic toxicity of multimodal therapy. Regional anesthetic techniques have been used by other surgical disciplines to facilitate early recovery after surgery and decrease postoperative patient narcotic requirements. This pilot study investigates the efficacy of a preoperative regional analgesia using stellate ganglion block in lateralized head and neck cancer surgery. From our early results, stellate ganglion blockade may hold promise as an effective preoperative intervention for controlling early postoperative pain, lessening narcotic requirements, and improving quality of life.
Keywords head and neck cancer, regional block, perioperative pain, stellate ganglion, Brief Pain Inventory, morphine equivalent
Show less
Daniel Sharbel, MD, Paramvir Singh, MBBS, Daniel Blumenthal, James Sullivan, Anterpreet Dua, MBBS, W. Greer Albergotti, MD, Michael Groves, MD, J. Kenneth Byrd, MDFirst Published December 3, 2019 Research Article
https://doi.org/10.1177/0194599819889688
Article information
No Access
Abstract
Patients with head and neck cancer represent a vulnerable population at particular risk of opioid dependence due to frequent histories of substance abuse, requirement of extensive surgery, and the synergistic toxicity of multimodal therapy. Regional anesthetic techniques have been used by other surgical disciplines to facilitate early recovery after surgery and decrease postoperative patient narcotic requirements. This pilot study investigates the efficacy of a preoperative regional analgesia using stellate ganglion block in lateralized head and neck cancer surgery. From our early results, stellate ganglion blockade may hold promise as an effective preoperative intervention for controlling early postoperative pain, lessening narcotic requirements, and improving quality of life.
Keywords head and neck cancer, regional block, perioperative pain, stellate ganglion, Brief Pain Inventory, morphine equivalent
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