The effect of celiac plexus block on heart rate variability

被引:1
|
作者
Arai, Young-Chang P. [1 ]
Morimoto, Atsuko [1 ]
Sakurai, Hiroki [1 ]
Ohmichi, Yusuke [1 ]
Aono, Shuichi [1 ]
Nishihara, Makoto [1 ]
Sato, Jun [1 ]
Ushida, Takahiro [1 ]
Inoue, Shinsuke [1 ]
Kurisuno, Makoto [1 ]
Kobayashi, Yuji [2 ]
机构
[1] Aichi Med Univ, Ctr Multidisciplinary Pain, Sch Med, Nagakute, Aichi 4801195, Japan
[2] Aichi Med Univ, Dept Gastroenterol, Sch Med, Nagakute, Aichi 4801195, Japan
关键词
Celiac plexus block; Heart rate variability; Sympathetic nerve activity; SYMPATHETIC-NERVE ACTIVITY; STELLATE GANGLION BLOCK; PANCREATIC-CANCER; HUMANS; PAIN; RESPONSES;
D O I
10.1007/s00540-012-1467-6
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Celiac plexus block (CPB) can be used for treating intra-abdominal visceral pain syndromes. The celiac plexus is the largest plexus of the sympathetic nervous system. Several nerve blocks have a marked effect on autonomic nervous activity. Furthermore, stellate ganglion block changes cardiac autonomic nervous activity. Thus, CPB could influence the sympathetic activity of the cardiac plexus. The aim of the present study was to see whether CPB modulated heart rate variability (HRV) in patients with pancreatic cancer. Twelve patients received neurolytic CPB using 14 ml absolute alcohol. Data recorded in a palm-sized electrocardiographic unit were analyzed for HRV. CPB using a neurolytic solution did not induce any significant changes in the low-frequency (LF)/high-frequency (HF) ratio of HRV (LF/HF, P = 0.4642). Furthermore, the procedure did not induce any significant changes in blood pressure (systolic, P = 0.5051; diastolic, P = 0.5180). CPB did not induce any significant changes in HRV or hemodynamics.
引用
收藏
页码:62 / 65
页数:4
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