A patient in ICU was on invasive monitoring with intra aerial canulation through right radial aery for last 3 days. Later he developed swelling and discolouration of right hand. The next line of management is: (A) Stellate ganglion block, (B) Brachial Block, (C) Radial Nerve block, (D) Celiac plexus block
Answer is A. A i.e. Stellate ganglion block The patient has developed vasospasm (reflex sympathetic dystrophy) as indicated by development of swelling & discolouration of hand Stellate (Cervicothoracic) Block in reality blocks upper thoracic and cervical ganglion. It is indicated in : - Reflex sympathetic dystrophyQ - Vasospastic disorder of upper extremityQ - Head, Neck, Arm & Upper chest pain