Cerebral Vasospasm, Subarachnoid Hemorrhage, Aneurysmal
Conditions
Keywords
Stellate Ganglion Block, Subarachnoid Hemorrhage, Cerebral Vasospasm, Transcranial Doppler Ultrasonography
Brief summary
To investigate whether the stellate ganglion block is helpful in relieving cerebral vasospasm during aneurysmal coil embolism surgery. The effect was assessed by Transcranial Doppler (TCD).
Interventions
Stellate ganglion block under ultra-guide will be administered using 0.25% ropivacaine 10mL
Stellate ganglion block under ultra-guide will be administered using 0.9% saline 10mL
Sponsors
Study design
Eligibility
Inclusion criteria
* 1.Emergency patients with subarachnoid hemorrhage caused by ruptured aneurysm, aged 18-65 years; 2. ASA : II-IV grade, Hunt-Hess : I-III grade 3. For the first case, the operation time is within 24 hours. 4.After signing informed consent, underwent interventional intravascular embolization
Exclusion criteria
* 1\. Patients with severe bleeding disorders; 2. Patients with trauma and local infection risk in the nerve block area; 3. Patients with previous aneurysm surgery and unruptured aneurysm; 4. Aneurysm located in middle cerebral artery; 5. Patients with unconsciousness cannot cooperate with the block operation; 6. Those with a history of mental illness and epilepsy; 7. Those who have a history of severe cardiovascular and cerebrovascular diseases and severe organ diseases;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of cerebral vasospasm | Change from baseline at 5day,after subarachnoid hemorrhage |