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Intra-Arrest Percutaneous Stellate Ganglion Block: A Protocol for a Scoping Review

Vlok, R.; Shankar, R.; Cham, J.; Bridge, B.; Donaldson, L.

2024-05-31 intensive care and critical care medicine
10.1101/2024.05.30.24308206 medRxiv
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IntroductionPercutaneous Stellate ganglion blockade (PSGB) is an increasingly recognised technique for the management of refractory ventricular arrhythmias (VA). Both ultrasound guided and landmark based techniques have been used to successfully decrease the burden of VA. The role of intra-arrest PSGB remains unknown, however it may represent a cost-effective point of care intervention that can be performed for shockable cardiac arrest. MethodsA systematic review of all clinical studies of PSGB performed intra-arrest will be performed across multiple databases. Studies will be included if they described the use of intra-arrest PSGB in humans. Studies will be qualitatively assessed to describe data regarding the PSGB technique, the training of the proceduralist, patient demographics, the context of the arrest and clinical outcomes and complications. This protocol was drafted according to the PRIMSA-P ScR.

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