Ultrasound GEL 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.
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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.
How To Target The Stellate Ganglion
- Learn neck sonoanatomy and target the longus colli between the carotid and vertebrae for ultrasound-guided SGB.
- If using landmarks, aim at C6 (Chassaignac's tubercle) anterior to the trachea but be cautious.
High-Risk Patient Population
- STAR enrolled 131 patients and performed 184 blocks, mostly elderly with high acuity and 26.5% mortality.
- The population underscores how critical these interventions are and their high baseline risk.