Antiarrhythmic and analgesic efficacy of stellate ganglion block in laparoscopic cholecystectomy

Ahmed Sayed, Jehan; Kamel, Emad Zarief; Ezzat Waheeb, Andrew; Tolba Younes, Khaled; Sobhi Hanna, Ragai; Mohamed Kamel, Mahmoud

doi:TEJA-2023-0262

Antiarrhythmic and analgesic efficacy of stellate ganglion block in laparoscopic cholecystectomy

Authors

TEJA-2023-0262

Abstract

Background
To explore the effect of right stellate ganglion block (RSGB) during laparoscopic cholecystectomy (LC) for control of intraoperative arrhythmia during CO pneumoperitoneum and postoperative pain relief
Methods
Forty patients undergoing LC in our hospital were selected as the subjects and were randomly divided into group S (20 cases) and group C (20 cases), all patients received RSGB, 10 mL of lidocaine 2% under ultrasound guidance to compare the incidence of arrhythmia (1ry outcome), changes of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MBP) in different time points and postoperative visual analogue scale (VAS) was reported in the 1st, 6th, and 12th hours, respectively, with time to first analgesia request.
Results
Intraoperative arrhythmias was significantly lower in group S rather than group C ( = 0.037); postoperative pain profile revealed that there was a significant difference between the 2 groups presented as longer duration for first time to request analgesia ( = 0.015) and lower VAS scores specially at the 1 and 6 postoperative hours in group S compared to group C ( < 0.001 and 0.004); changes in heart rate and blood pressure, there was a significant difference between the 2 groups in values of both parameters 5 minutes following CO insufflation, group S showed significantly lower HR, SBP, and MBP at this time point than group C.
Conclusion
Patients received RSGB before laparoscopic cholecystectomy can experience lower incidence of arrhythmia, better intraoperative hemodynamics, and effective pain control postoperatively.

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