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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ANECDOTE

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.
INSIGHT

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.
INSIGHT

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.
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