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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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Chapter 26 – Stellate Block

PERSPECTIVE

The primary use of a stellate block is for the diagnosis and treatment of complex regional pain syndromes of the upper extremity. It may also be used in clinical situations when increased perfusion to the upper extremity is desired, although this can also be accomplished with the brachial plexus blocks.

Patient Selection.

Candidates for this block are primarily patients with complex regional pain syndromes of the upper extremity or those with impaired perfusion to the upper extremity following trauma.

Pharmacologic Choice.

Even during the diagnostic use of stellate ganglion block, it is often desirable to produce a long-lasting block. Therefore a solution of 0.25% bupivacaine or 0.2% ropivacaine with 1:200,000 epinephrine is often my first choice.

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