Keimyung Med J Search

CLOSE


Keimyung Medical Journal 2009;28(2):174-181.
Change in Skin Temperatures in Lumbar Sympathetic Ganglion Block Showing Three Different Contrast Spread Patterns
Change in Skin Temperatures in Lumbar Sympathetic Ganglion Block Showing Three Different Contrast Spread Patterns
Ji Hee Hong; Ae Ra Kim; Chan Jin Kim; Min Ju Oh
Abstract
We hypothesized that if a fluoroscopic image of the lumbar sympathetic ganglion block (LSGB) showed the spread patterns of contrast at both the L2/3 and L4/5 disc areas; then this would demonstrate a more profound blockade effect because the spread patterns are close to sympathetic ganglia. Forty five patients were classified into three groups(Group A : contrast spreads at the ventral side of both L2-L3 and L4-L5 disc areas; Group B : contrast spreads at one disc level of L2-L3 or L4-L5; Group C : no contrast spreads around either L2-L3 or L4-L5 disc areas) according to their contrast spread pattern. Preblock and maximum postblock temperature (Tpre; Tpost; ℃); the preblock temperature difference between the ipsilateral and contralateral great toe (DTpre; ℃); and the postblock temperature difference between the ipsilateral and contralateral great toe (DTpost; ℃) were measured and calculated. DTnet was calculated as follows. DTnet = DTpost -DTpre. Group A showed the most significant changes in DTpost (7.5 ± 1.2℃; p = 0.015); and DTnet (6.9 ± 1.0℃; p = 0.017) compared to group C. Other parameters including T1℃; Tpre; Tpost; and DTpre were similar between groups. Group A showed significant sympatholytic effect compared to group C. To obtain a more complete sympathetic block; assessing the contrast spread pattern after the LSGB is an important step as well as measuring skin temperature.
Key Words: Lumbar sympathetic ganglion block, Skin temperature
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 523 View
  • 0 Download
Related articles in Keimyung Med J


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
1095 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea
Tel: +82-53-258-7581    E-mail: tinlib@dsmc.or.kr                

Copyright © 2024 by Keimyung University School of Medicine.

Developed in M2PI

Close layer
prev next