J Korean Pain Soc.
2004 Dec;17(2):315-318. 10.3344/jkps.2004.17.2.315.
Upper Airway Obstruction Due to Cervical Hematoma after Stellate Ganglion Block: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, and Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. dmyoon@yumc.yonsei.ac.kr
- KMID: 2104881
- DOI: http://doi.org/10.3344/jkps.2004.17.2.315
Abstract
- An 81 year old man, suffering from sudden sensorineural hearing loss, received stellate ganglion block while receiving a continuous intravenous infusion of heparin. Four hours after stellate ganglion block, he complained of neck pain and swelling. 36 hours later, he developed dyspnea. A plain radiograph and computed tomograph of the neck revealed narrowing of the upper airway. After a tracheostomy, the dyspnea improved. He was discharged without sequelae 19 days later. We recommend that proper compression of the injected site for over 5 minutes is necessary to avoid a hematoma, and careful observation and immediate treatment should be performed when a hematoma occurs.
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