

Stellate Ganglion Block
Sep 22, 2025
Diving into the stellate ganglion block, the hosts tackle its potential life-saving abilities for those experiencing ventricular storms. They discuss findings from a groundbreaking study revealing a 92.2% reduction in arrhythmic events. Interesting comparisons emerge between single-shot and continuous infusion techniques, with no significant differences in efficacy. They also explore safety, addressing complications like transient nerve injuries. With a push for future research and early interventions, this conversation is illuminating for anyone interested in advanced medical procedures.
AI Snips
Chapters
Transcript
Episode notes
Surprising Parasite Found With POCUS
- An 18-year-old with an itchy foot had an anechoic motile parasite visualized on point-of-care ultrasound.
- Mike Pratt highlighted this case from POCUS Journal as a surprising ultrasound use-case.
Definition And Rationale For SGB
- Electrical storm means ≥3 VT/VF episodes in 24 hours and can be refractory to shocks and drugs.
- Stellate ganglion block targets sympathetic input to the heart as a last-resort therapy.
STAR Study Design And Scope
- The STAR study was multicenter in Italy enrolling refractory electrical storm patients from 2017–2023.
- Inclusion, exclusion, and pragmatic treatment decisions varied by center, making the study broadly reflective of real practice.