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Estimation of Stellate Ganglion Block Injection Point Using the Cricoid Cartilage as Landmark Through X-ray Review

Authors
 Jeong Soo Park  ;  Ki Jun Kim  ;  Youn Woo Lee  ;  Duck Mi Yoon  ;  Kyung Bong Yoon  ;  Min Young Han  ;  Jong Bum Choi 
Citation
 KOREAN JOURNAL OF PAIN, Vol.24(3) : 141-145, 2011 
Journal Title
KOREAN JOURNAL OF PAIN
ISSN
 2005-9159 
Issue Date
2011
Keywords
cricoid cartilage ; neck extension ; stellate ganglion block
Abstract
BACKGROUND: Stellate ganglion block is usually performed at the transverse process of C6, because the vertebral artery is located anterior to the transverse process of C7. The purpose of this study is to estimate the location of the transverse process of C6 using the cricoid cartilage in the performance of stellate ganglion block.

METHODS: We reviewed cervical lateral neutral-flexion-extension views of 48 patients who visited our pain clinic between January and June of 2010. We drew a horizontal line at the surface of the cricoid cartilage in the neutral and extension views of cervical lateral x-rays. We then measured the change in the shortest distance from this horizontal line to the lowest point of the transverse process of C6 between the neutral and extension views.

RESULTS: There was a statistically significant difference in the shortest distance from the horizontal line at the surface of the cricoid cartilage to the lowest point of transverse process of C6 between neutral position and neck extension position in both males and females, and between males and females in both neutral position and neck extension position. The cricoid cartilage level was 4.8 mm lower in males and 14.4 mm higher in females than the lowest point of transverse process of C6 in neck extension position.

CONCLUSIONS: Practitioners should recognize that the cricoid cartilage has cephalad movement in neck extension. In this way, the cricoid cartilage can be still useful as a landmark for stellate ganglion block.
Files in This Item:
T201103344.pdf Download
DOI
10.3344/kjp.2011.24.3.141
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Jun(김기준) ORCID logo https://orcid.org/0000-0003-1950-7998
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
Yoon, Duck Mi(윤덕미)
Lee, Youn Woo(이윤우)
Choi, Jong Bum(최종범)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94215
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