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01-02-2013 | Original Article

The effect of celiac plexus block on heart rate variability

Authors: Young-Chang P. Arai, Atsuko Morimoto, Hiroki Sakurai, Yusuke Ohmichi, Shuichi Aono, Makoto Nishihara, Jun Sato, Takahiro Ushida, Shinsuke Inoue, Makoto Kurisuno, Yuji Kobayashi

Published in: Journal of Anesthesia | Issue 1/2013

Abstract

Background

Celiac plexus block (CPB) can be used for treating intra-abdominal visceral pain syndromes. The celiac plexus is the largest plexus of the sympathetic nervous system. Several nerve blocks have a marked effect on autonomic nervous activity. Furthermore, stellate ganglion block changes cardiac autonomic nervous activity. Thus, CPB could influence the sympathetic activity of the cardiac plexus. The aim of the present study was to see whether CPB modulated heart rate variability (HRV) in patients with pancreatic cancer.

Methods

Twelve patients received neurolytic CPB using 14 ml absolute alcohol. Data recorded in a palm-sized electrocardiographic unit were analyzed for HRV.

Results

CPB using a neurolytic solution did not induce any significant changes in the low-frequency (LF)/high-frequency (HF) ratio of HRV (LF/HF, P = 0.4642). Furthermore, the procedure did not induce any significant changes in blood pressure (systolic, P = 0.5051; diastolic, P = 0.5180).

Conclusion

CPB did not induce any significant changes in HRV or hemodynamics.

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Title: The effect of celiac plexus block on heart rate variability
Authors: Young-Chang P. Arai
Atsuko Morimoto
Hiroki Sakurai
Yusuke Ohmichi
Shuichi Aono
Makoto Nishihara
Jun Sato
Takahiro Ushida
Shinsuke Inoue
Makoto Kurisuno
Yuji Kobayashi
Publication date: 01-02-2013
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 1/2013
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-012-1467-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The effect of celiac plexus block on heart rate variability

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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