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Local anaesthetic sympathetic blockade for complex regional pain syndrome

  1. Tasha R Stanton1,2,*,
  2. Benedict M Wand3,
  3. Daniel B Carr4,
  4. Frank Birklein5,
  5. Gunnar L Wasner6,
  6. Neil E O'Connell7

Editorial Group: Cochrane Pain, Palliative and Supportive Care Group

Published Online: 19 AUG 2013

Assessed as up-to-date: 31 JUL 2013

DOI: 10.1002/14651858.CD004598.pub3


How to Cite

Stanton TR, Wand BM, Carr DB, Birklein F, Wasner GL, O'Connell NE. Local anaesthetic sympathetic blockade for complex regional pain syndrome. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD004598. DOI: 10.1002/14651858.CD004598.pub3.

Author Information

  1. 1

    Neuroscience Research Australia, Randwick, Australia

  2. 2

    University of South Australia, The Sansom Institute for Health Research, School of Health Sciences, Adelaide, Australia

  3. 3

    The University of Notre Dame Australia, School of Physiotherapy, Fremantle, W, Australia

  4. 4

    Tufts Medical Center, Department of Anesthesia, Boston, USA

  5. 5

    Johannes Gutenberg University, University Medical Centre, Mainz, Germany

  6. 6

    Christian-Albrechts University of Kiel, Neurological Clinic, Kiel, Schleswig-Holestein, Germany

  7. 7

    Brunel University, Centre for Research in Rehabilitation, School of Health Sciences and Social Care, Uxbridge, Middlesex, UK

*Tasha R Stanton, The Sansom Institute for Health Research, School of Health Sciences, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia. t.stanton@neura.edu.au. tasha.stanton@unisa.edu.au.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 19 AUG 2013

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Aydemir 2006 {published data only}
  • Aydemir K, Taskaynatan MA, Yazicloglu K, Ozgul A. The effects of stellate ganglion block with lidocaine and ultrasound in complex regional pain syndrome: A randomized, double blind, placebo controlled study. Journal of Rheumatology and Medical Rehabilitation 2006;17:193-200.
Bonelli 1983 {published data only}
  • Bonelli S, Conoscente F, Movilia PG, Restelli L, Francucci B, Grossi E. Regional intravenous guanethidine vs. stellate ganglion block in reflex sympathetic dystrophies: a randomized trial. Pain 1983;16:297-307.
Carroll 2009 {published data only}
Meier 2009 {published data only}
  • Meier PM, Zurakowski D, Berde CB, Sethna NF. Lumbar sympathetic blockade in children with complex regional pain syndromes: a double blind placebo-controlled crossover trial. Anesthesiology 2009;111(2):372-80.
Nascimento 2010 {published data only}
  • Nascimento MSA, Klamt JG, Prado WA. Intravenous regional block is similar to sympathetic ganglion block for pain management in patients with complex regional pain syndrome type I. Brazilian Journal of Medical and Biological Research 2010;43(12):1239-44.
Price 1998 {published data only}
  • Price DD, Long S, Wilsey B, Rafii A. Analysis of peak magnitude and duration of analgesia produced by local anesthetics injected into sympathetic ganglia of complex regional pain syndrome patients. Clinical Journal of Pain 1998;14:216-26.
Raja 1991 {published data only}
Rodriguez 2005 {published data only}
  • Rodriguez RF, Bravo LE, Tovar MA, Castro F, Ramos GE, Mendez F. Determination of the analgesic efficacy of the stellate ganglion blockade in the alleviation of pain mediated by the sympathetic nervous system in patients with Complex Regional Pain Syndrome [Determinacion de la eficacia analgesica de los bloqueos del ganglio estrellado en el alivio del dolor mediado por el sistema nervioso simpatico, en pacientes con sindrome doloroso regional complejo del miembro superior]. Revista Colombiana de Anestetica 2005;33(3):153-9.
Toshniwal 2012 {published data only}
Verdugo 1995 {published data only}
  • Verdugo RJ, Moya MF, Cea JG, Salinas HA, Bilbeny CJ. Stellate ganglion block in reflex sympathetic dystrophy: a double-blind crossover study. Program & Abstracts of the 1st Scientific Meeting of the European Federation of IASP Chapters. 1995.
Wehnert 2002 {published data only}
  • Wehnert Y, Müller B, Larsen B, Kohn D. [Sympathetically maintained pain (SMP): phentolamine test vs sympathetic nerve blockade. Comparison of two diagnostic methods]. Der Orthopäde 2002;31:1076-83.
Zeng 2003 {published data only}
  • Zeng X, Chen S, Guan C, Jiang L, Wang L. Block of ganglion stellatum on improving edema and range of movement in shoulder-hand syndrome. Chinese Journal of Clinical Rehabilitation 2003;7(7):1194-5.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Ackerman 2006 {published data only}
Arias 1989 {published data only}
  • Arias LM, Bartkowski R, Grossman KL, Schwartzman RJ, Tom CM. Sufentanil stellate ganglion injection in the treatment of refractory reflex sympathetic dystrophy. Regional Anesthesia 1989;14(2):90-2.
Catala 1994 {published data only}
  • Catala E, Ferrandiz M, Aliaga L, Serra R, Castro MA, Villar JM. Intravenous lidocaine compared with sympathetic blocks as treatment for post-herpetic neuralgia. A 1-year survey. The Pain Clinic 1994;7(3):205-10.
Dellemijn 1994 {published data only}
  • Dellemijn PL, Fields HL, Allen RR, McKay WR, Rowbotham MC. The interpretation of pain relief and sensory changes following sympathetic blockade. Brain 1994;117:1475-87.
Erickson 1993 {published data only}
Farcot 1990 {published data only}
  • Farcot JM, Grasser C, Foucher G, Marin Braun F, Ehrler S, Demangeat JL, et al. [Local intravenous treatment of algodystrophy of the hand: buflomedil versus guanethidine, long term follow-up]. Annales de chirurgie de la main et du membre supérieur: organe officiel des sociétés de chirurgie de la main 1990;9:296-304.
Fukusaki 1995 {published data only}
  • Fukusaki M, Matsumoto M, Yamaguchi K, Nakamura H, Sumiwaka K. The role of nerve blocks to deal with pain associated with cervical radiculopathy. The Pain Clinic 1995;8(3):219-25.
Garrido 2005 {published data only}
  • Garrido B, Fernandez-Suarez L, Bosch F, Rabi MC, Hernandez-Arteaga M. Complex regional pain syndrome type I. Management with sympathetic blockade and other therapies. Revista de la Sociedad Espanola del Dolor 2005;12(7):417-24.
Geurts 2006 {published data only}
  • Geurts J. Percutaneous sympathetic blockade in complex regional pain syndrome type 1: a prospective clinical investigation on predictors of sympatheticaly maintained pain ID - 7. Controlled trials register ISRCTN. Controlled trials register ISRCTN (www.controlled-trials.com/isrctn), 2006.
Glynn 1993 {published data only}
  • Glynn C, Casale R. Morphine injected around the stellate ganglion does not modulate the sympathetic nervous system nor does it provide pain relief. Pain 1993;53(33):37.
Hartrick 2004 {published data only}
Linson 1983 {published data only}
Malmqvist 1992 {published data only}
  • Malmqvist ELA, Bengtsson M, Sorensen J. Efficacy of stellate ganglion block: A clinical study with bupivacaine. Regional Anesthesia 1992;17:340-7.
Perrigot 1982 {published data only}
  • Perrigot M, Bergego C, Hocini A, Pierrot Deseilligny E. Algodystrophic syndrome in hemiplegia. Clinical and therapeutic study [Le syndrome algodystrophique chez l'hémiplégique. Etude clinique et thérapeutique]. Annales de Médecine Interne 1982;133:544-8.
Quevedo 2005 {published data only}
  • Quevedo JP, Purgavie K, Platt H, Strax TE. Complex regional pain syndrome involving the lower extremity: a report of 2 cases of sphenopalatine block as a treatment option. Archives of Physical Medicine and Rehabilitation 2005;86(2):335-7.
Rodriguez 2006 {published data only}
  • Rodriguez RF, Bravo LE, Tovar MA, Castro F, Ramos GE, Daza P. Study of the analgesic efficacy of stellate ganglion blockade in the management of the complex regional pain syndrome in patients with pain mediated by sympathetic nervous system: Preliminary study. Revista de la Sociedad Espanola del Dolor 2006;13(4):230-7.
Rodriguez 2008 {published data only}
  • Rodriguez RF, Bravo LE, Tovar MA, Ramos GE. Sympathetic blockades in sympathetic mediated pain. International Association for the study of Pain (IASP) Conference proceedings, Glasgow, Scotland. 2008:PM 349.
Salinas Cerda 1997 {published data only}
  • Salinas Cerda, H. Reflex sympathetic dystrophy: long-term control of sympatic block with guanethidine [Distrofia simpática refleja: control a largo plazo del bloqueo simpático con guanetidina]. Dolor 1997;5:17-22.
Schurmann 2001 {published data only}
  • Schurmann M, Gradl G, Wizgal I, Tutic M, Moser C, Azad S, et al. Clinical and physiologic evaluation of stellate ganglion blockade for complex regional pain syndrome type I. Clinical Journal of Pain 2001;17:94-100.
Steinbrocker 1953 {published data only}
  • Steinbrocker O, Neustadt D, Lapin L. Shoulder-hand syndrome: Sympathetic block compared with corticotropin and cortisone therapy. Journal of the American Medical Association 1953;153(9):788-91.
Tran 2000 {published data only}
  • Tran KM, Frank SM, Raja SN, El Rahmany HK, Kim LJ, Vu B. Lumbar sympathetic block for sympathetically maintained pain: changes in cutaneous temperatures and pain perception. Anesthesia and Analgesia 2000;90:1396-401.
Wang 1985 {published data only}
  • Wang JK, Erickson RP, Ilstrup DM. Repeated stellate ganglion blocks for upper-extremity reflex sympathetic dystrophy. Regional Anesthesia 1985;10:125-8.
Yucel 2009 {published data only}
  • Yucel I, Demiraran Y, Ozturan K, Degirmenci E. Complex regional pain syndrome type I: efficacy of stellate ganglion blockade. Journal of Orthopaedic Traumatology 2009;10(4):179-83.

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Rocha 2012 {published data only}
  • Rocha RO. RCT: Thoracic sympathetic block for the treatment of complex regional pain syndrome I of the upper limb. ID - 7. ClinicalTrials.gov. Sao Paulo, 2012:Identifier: NCT01612364. Available at: http://clinicaltrials.gov/ct2/show/NCT01612364.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Albrecht 2006
  • Albrecht PJ, Hines S, Eisenberg E, Pud D, Finlay DR, Davar G, et al. Pathologic alterations of cutaneous innervation and vasculature in affected limbs from patients with complex regional pain syndrome. Pain 2006;120:244-66.
Ali 2000
Altman 2012
Binder 2009
  • Binder A, Baron R. Complex regional pain syndrome, including applications of neural blockade. In: Cousins MJ, Carr DB, Horlocker TT, Bridenbaugh PO editor(s). Cousins & Bridenbaugh's Neural Blockade in Clinical Anesthesia and Management of Pain. 4th Edition. Philadelphia: Lippincott Williams & Wilkins, 2009:1154-1168.
Birklein 2000
Birklein 2001
Breivik 2009
  • Breivik H, Cousins MJ. Sympathetic neural blockade of upper and lower extremity. Chapter 39. In: Cousins MJ, Carr DB, Horlocker TT, Bridenbaugh PO editor(s). Cousins & Bridenbaugh's Neural Blockade in Clinical Anesthesia and Management of Pain. 4th Edition. Philadelphia: Lippincott Williams & Wilkins, 2009:848-885.
Bruehl 1999
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Bruehl 2010
Campbell 1996
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De Mos 2008
De Mos 2009
Drummond 2001
Drummond 2004
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Dworkin 2008
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Fine 1994
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Harden 2013
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Jänig 2003
Koban 2003
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Lotze 2007
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Maihöfner 2004
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Moseley 2006
Nelson 2006
Niehof 2006
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References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Cepeda 2002
  • Cepeda MS, Lau J, Carr DB. Defining the therapeutic role of local anesthetic sympathetic blockade in complex regional pain syndrome: a narrative and systematic review. Clinical Journal of Pain 2002;18(4):216-33.
Cepeda 2005
Cepeda 2010