Left Stellate Ganglion Blockade for Refractory Ventricular Arrhythmias With Aconitine Poisoning: A Case Report.

Autor: Ichikawa Y; From the Departments of Anesthesiology and Intensive Care Medicine., Matsumoto S; From the Departments of Anesthesiology and Intensive Care Medicine., Fujinaka W; From the Departments of Anesthesiology and Intensive Care Medicine., Takatori M; From the Departments of Anesthesiology and Intensive Care Medicine., Nishioka K; Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan., Namera A; Department of Forensic Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Jazyk: angličtina
Zdroj: A&A practice [A A Pract] 2023 Feb 20; Vol. 17 (2), pp. e01666. Date of Electronic Publication: 2023 Feb 20 (Print Publication: 2023).
DOI: 10.1213/XAA.0000000000001666
Abstrakt: Aconitine poisoning causes refractory ventricular arrhythmias (VAs). In a 20-year-old man, VAs of unknown etiology did not respond to drugs and electrical defibrillation. However, left stellate ganglion blockade (SGB) dramatically decreased arrhythmias without complications. At a later date, we found that refractory VAs were caused by aconitine poisoning. Left SGB is effective for treating refractory VAs with aconitine poisoning and can be easily performed with few complications for VAs of unknown etiology even if patients are receiving anticoagulant therapy. Also, left SGB can be performed to diagnose refractory VAs.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2023 International Anesthesia Research Society.)
Databáze: MEDLINE