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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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PEARLS

The most useful maneuver to facilitate the stellate ganglion block is to use the index and third fingers of the palpating hand to compress the tissues overlying the sixth cervical vertebral tubercle. The patient experiences some deep pressure discomfort from this maneuver, but clear identification of the tubercle makes this block efficient, and most patients are willing to accept the deep discomfort if the block is carried out efficiently.

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