Anest. intenziv. Med. 1999;10(3):108-110

Blind diagnostic lumbar sympathetic blockArticles

M. Hakl¹, P. Ševčík¹, J. Pavlíková¹, P. Roubal²

¹ Anesteziologicko-resuscitační klinika FN U sv. Anny v Brně, přednosta doc. MUDr. Pavel Ševčík, CSc.

² II. chirurgická klinika FN U sv. Anny v Brně, přednosta doc. MUDr. Jindřich Leypold, CSc.

Lumbar sympathetic block is indicated in selected painful ischemic symptoms of lower limbs, in painful syndromes with involvement of sympathetictrunk and in other conditions with dysbalance in sympathetic innervation of lower trunk and lower limbs. The location of lumbar sympathetic systemenables its blockade from posterolateral approach. Single-side block can be accomplished from a single puncture site; radiologic verification is notnecessary. We performed the block without radiologic assistance in 30 patients during one year. In 29 patients the effect was positive; subsequently,lumbar sympathectomy was performed as an open procedure. The incidence of complication was minimal. Lumbar sympathetic block could beconsidered as a highly effective diagnostic method.

Keywords: lumbar sympathetic block; posterolateral approach; sympathectomy

Published: June 1, 1999  Show citation