A Heat Map of Superior Cervical Ganglion Location Relative to the Common Carotid Artery Bifurcation

被引：14

作者：

Wisco, Jonathan J. ^{[1
,2
]}

Stark, M. Elena ^{[2
]}

Safir, Ilan

Rahman, Siamak ^{[3
]}

机构：

[1] Univ Calif Los Angeles, Dept Pathol & Lab Med, Div Integrat Anat, David Geffen Sch Med, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, Lab Translat Anat Degenerat Dis & Dev Disorders, Los Angeles, CA 90095 USA

[3] Univ Calif Los Angeles, Dept Anesthesiol, David Geffen Sch Med, Los Angeles, CA 90024 USA

来源：

ANESTHESIA AND ANALGESIA | 2012年 / 114卷 / 02期

关键词：

ANEURYSMAL SUBARACHNOID HEMORRHAGE; GUIDED REGIONAL ANESTHESIA; CEREBRAL VASOSPASM; SYMPATHETIC TRUNK; BLOCK; THERAPY;

D O I：

10.1213/ANE.0b013e31823b676d

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

BACKGROUND: Determining the superior cervical ganglion's precise anatomical location for local anesthetic block, when stellate block is not feasible or is contraindicated, is difficult. METHODS: We dissected the superior cervical ganglion in 60 embalmed cadaveric specimens. Multiple regressions determined whether subject characteristics predicted the distance between the superior cervical ganglion and common carotid artery bifurcation and the superior cervical ganglion dimensional width and area. Based on these regressions, we mapped the ganglion and common carotid artery bifurcation using a pseudocolor statistical heat map. RESULTS: The statistical model significantly predicted the superior cervical ganglion common carotid artery bifurcation distance (P = 0.01), and the superior cervical ganglion dimensional width (P = 0.02). CONCLUSION: This study determined that the common carotid artery bifurcation is a good landmark for localizing the superior cervical ganglion for anesthetic block. (Anesth Analg 2012; 114:462-5)

引用

页码：462 / 465

页数：4

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