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  • Correspondence on ‘Percutaneous cervical sympathetic block to treat cerebral vasospasm and delayed cerebral ischemia: a review of the evidence’ by Bombardieri et al

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Correspondence on ‘Percutaneous cervical sympathetic block to treat cerebral vasospasm and delayed cerebral ischemia: a review of the evidence’ by Bombardieri et al
  1. Maria Perez Herrero1,2,
  2. Ece Yamak Altinpulluk2,3,4,
  3. Felice Galluccio2,5,
  4. Karla Espinoza Morrales2,6,
  5. Ruth Liceth Jara Pacheco2,7,
  6. Mario Fajardo8,9,10,11
  1. 1 Anesthesiology, Hospital Clinico Universitario de Valladolid, Valladolid, Spain
  2. 2 Morphological Madrid Research Center (MoMaRC), UltraDissection Spain EchoTraining School, Madrid, Spain, UltraDissection Spain EchoTraining School, Madrid, Spain
  3. 3 Outcomes Research Consortium, Cleveland, Ohio, USA
  4. 4 Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
  5. 5 Fisiotech Lab Studio, Firenze, Italy
  6. 6 Anesthesia, CAIS of Puriscal, San Jose, Costa Rica
  7. 7 Resident of 3 year of Anesthesia, Member of ultradissection, Spain, Madrid
  8. 8 Director of Morphological Madrid Research Center (MoMaRC), MoMarc, Madrid, Spain
  9. 9 Director of UltraDissection Group, UltraDissection Spain EchoTraining School, Madrid, Spain
  10. 10 Anesthesia, Nisa Hospital, Madrid, Spain
  11. 11 Intertionational school of PhD program, Rey Juan Carlos University, Mostoles, Madrid
  1. Correspondence to Dr Maria Perez Herrero, Anesthesiology, Hospital Clinico Universitario de Valladolid, Valladolid, 47012, Spain; mapeherrero{at}gmail.com

https://doi.org/10.1136/jnis-2023-020449

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    We read with great interest the recently published article about cervical sympathetic block.1 The authors state that a cervical anesthetic injection performed at the level of the middle cervical ganglion, or C6 level, will inhibit both superior preganglionic fibers and the stellate ganglion at the C7 level by spreading both upwards and downwards. At this level, they considered that both the preganglionic fibers that enervate the anterior circulation and the postganglionic fibers that enervate the posterior circulation would be blocked. Additionally, the authors have stated that there is evidence that nerve blocks performed with ultrasound guidance are superior in terms of effectiveness and have fewer reported minor complications.2 The aim of this letter is to describe a new sympathetic chain block approach in the supraclavicular fossa and explain its advantages.

    The patient is placed in the lateral …

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    • Contributors All authors participated in the design, data collection, and writing of the final version of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.

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