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Thoracic sympathetic ganglion blocks: real-world outcomes in 207 chronic pain patients.
Kim, Jeongsoo; Yun, Minsu; Han, Andrew Hogyu; Pauzi, Mohd Faeiz; Jeong, Jae Hoon; Yoo, Yongjae; Moon, Jee Youn.
Afiliación
  • Kim J; Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea (the Republic of).
  • Yun M; Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea (the Republic of).
  • Han AH; Dept of Anesthesiology, Georgetown University School of Medicine, Washington, District of Columbia, USA.
  • Pauzi MF; Dept. of Anaesthesiology and Intensive Care, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia.
  • Jeong JH; Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea (the Republic of).
  • Yoo Y; Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea (the Republic of).
  • Moon JY; Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea (the Republic of) jymoon0901@gmail.com.
Reg Anesth Pain Med ; 2023 Sep 19.
Article en En | MEDLINE | ID: mdl-37726196
BACKGROUND: Thoracic sympathetic ganglion block (TSGB) is a procedure to manage sympathetically maintained upper extremity pain (sympathetically maintained pain). To date, only a few studies have evaluated the clinical effectiveness of TSGB in pain medicine. This study investigated (1) the relationship between technical success of TSGB and pain reduction in patients with chronic upper extremity pain and (2) relevant clinical factors for a positive TSGB outcome. METHODS: We retrospectively reviewed medical data in 232 patients who received TSGB from 2004 to 2020. Technical success and a positive outcome of TSGB were defined as a temperature increase of ≥1.5°C at 20 min and a pain reduction with ≥2 points on the 11-point Numerical Rating Scale at 2 weeks post-TSGB, respectively. Correlations were assessed using correlation coefficients (R), and multivariable regression model was used to identify factors relevant to TSGB outcomes. RESULTS: 207 patients were ultimately analyzed; among them, 115 (55.5%) patients positively responded to TSGB, and 139 (67.1%) achieved technical success after TSGB. No significant relationship existed between the pain reduction and the temperature increase after TSGB (R=0.013, p=0.855). Comorbid diabetes (OR 4.200) and adjuvant intake (OR 3.451) were positively associated, and psychiatric comorbidity (OR 0.327) and pain duration (OR 0.973) were negatively associated with TSGB outcome. CONCLUSIONS: We found no significant association between the temperature increase and pain reduction after TSGB. Further studies are warranted to identify significant factors associated with TSGB outcomes in patients with complex regional pain syndrome and neuropathic pain diseases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Reg Anesth Pain Med Asunto de la revista: ANESTESIOLOGIA / NEUROLOGIA / PSICOFISIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Reg Anesth Pain Med Asunto de la revista: ANESTESIOLOGIA / NEUROLOGIA / PSICOFISIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido