Effects of ultrasound-guided stellate ganglion block on intrapulmonary shunt and oxygenation in patients with single-lung ventilation
2024

Effects of Ultrasound-Guided Stellate Ganglion Block on Lung Function During Surgery

Sample size: 88 publication 10 minutes Evidence: moderate

Author Information

Author(s): Zhu Guoshao, Su Changsheng, Kang Zhenming, Zeng Jingyang, Li Shunyuan

Primary Institution: Quanzhou First Hospital Affiliated to Fujian Medical University

Hypothesis

Does ultrasound-guided stellate ganglion block improve oxygenation and reduce intrapulmonary shunt in patients undergoing single-lung ventilation?

Conclusion

Ultrasound-guided SGB improves respiratory mechanics, hemodynamics, and inflammatory responses during single-lung ventilation.

Supporting Evidence

  • The SGB group showed significantly decreased levels of inflammatory markers IL-6 and IL-8 compared to the control group.
  • SGB improved dynamic lung compliance and oxygenation index in patients undergoing single-lung ventilation.
  • The study included a well-defined patient population with clear inclusion and exclusion criteria.

Takeaway

This study shows that a special injection can help patients breathe better during surgery by reducing problems with their lungs.

Methodology

This was a prospective randomized controlled double-blind trial involving 116 patients, with 88 ultimately analyzed, comparing outcomes between those receiving SGB and a control group.

Potential Biases

Potential bias from the double-blind design may still exist if the blinding was not fully effective.

Limitations

The study's findings may not be generalizable due to the specific patient population and the limited sample size.

Participant Demographics

Patients aged 18-75 undergoing elective thoracoscopic pulmonary lobectomy.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fsurg.2024.1438146

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