Effect of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergent cases with traumatic brain injury

doi:10.3969/j.issn.1674-490X.2013.04.001

Abstract

Abstract: Objective To observe the inlfuence of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergency cases with traumatic brain injury. Methods 80 emergency cases with traumatic brain injury were randomly divided into two groups. Group A were treated with right-side stellate ganglion block before tracheal intubation. Group B were only treated with tracheal intubation. The heart rates, mean blood pressure and oxyhemoglobin saturation one minute before the intubation, at the moment of being intubated and one minute after the intubation were calculated. Meanwhile, it was evaluated whether the two groups coughed with the intubation. Variance analysis was applied to measurement data, and statistics analysis andχ2 were to count data. Results There was statistic signiifcance in comparing the cough responses of Group A and Group B, and the cardiovascular response to tracheal intubation of Group A was signiifcantly weaker than that of Group B. There was signiifcant difference between the two groups in heart rates and MAR. The heart rates and MAR of Group A was signiifcantly lower at the moment of being intubated and one minute after the intubation. Conclusion Right-side stellate ganglion block can signiifcantly decrease the cardiovascular response to tracheal intubation in emergentcy cases with traumatic injury. Hence, general anesthetic revulsion steadily proceeds in emergency cases with traumatic brain injury.

Key words: stellate ganglion, traumatic brain injury, tracheal intubation, cardiovascular response

CLC Number:

WANG Ying,LI Yongle,WU Guangyi. Effect of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergent cases with traumatic brain injury[J]. Medical Reserch and Education, 2013, 30(4): 1-4.

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