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Infrared Thermographic Imaging in the Assessment of Successful Block on Lumbar Sympathetic Ganglion

 Yong Chul Kim  ;  Jae Hyon Bahk  ;  Youn Woo Lee  ;  Sang Chul Lee 
 Yonsei Medical Journal, Vol.44(1) : 119-124, 2003 
Journal Title
 Yonsei Medical Journal 
Issue Date
This study examined the net changes in temperature at various regions of the lower extremities in an attempt to identify the regions demonstrating the most significant temperature changes following a lumbar sympathetic ganglion block (LSGB). Thermography was performed before and after the LSGB in 26 sympathetic nerve system disorder cases. The inspection points were the anterior and posterior surfaces of the thigh, the knee and leg, and the dorsal and plantar surfaces of the feet. The net increases in skin temperature following the LSGB (ΔTnet) at the plantar and dorsal surfaces of the feet, were 6.2 ± 2.68℃ (mean ± SD) and 3.9 ± 1.89℃, respectively, which were higher than those observed in the other regions of the lower extremities (p < 0.05). The areas, in order of decreasing ΔTnet, are as follows: the plantar surface of the foot, the dorsal surface of the foot, the shin, the anterior surface of the knee, the calf, the posterior surface of the knee, the anterior surface of the thigh, and the posterior surface of the thigh. There was one case of orthostatic hypotension during the thermography procedure. In conclusion, thermographic imaging is a useful method for demonstrating the success of a LSGB in various diseases. An evaluation of the ΔTnet on the plantar surface of the feet using thermographic imaging is the most effective, simple, and safe method for assessing a successful LSGB.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
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