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Brief CommunicationBrief Communication
Open Access

Combining Stellate ganglion block and intravenous regional anesthesia to treat complex regional pain syndrome

A 19-years’ experience in a tertiary center

Abdelkarim S. Aloweidi, Sami A. Abu Halaweh, Mahmoud M. Al-Mustafa, Islam M. Massad, Ibraheem Y. Qudaisat, Aws M. Khanfar, Jihad M. Ajlouni, Shaher T. Alhadidi, Ahmad I. El-Share, Mohammad A. Jarbeh and Anas A. Al-Oweidi
Saudi Medical Journal October 2022, 43 (10) 1168-1172; DOI: https://doi.org/10.15537/smj.2022.43.10.20220318
Abdelkarim S. Aloweidi
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, PhD
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Sami A. Abu Halaweh
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, PhD
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Mahmoud M. Al-Mustafa
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, PhD
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Islam M. Massad
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, PhD
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Ibraheem Y. Qudaisat
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, BSc
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Aws M. Khanfar
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
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Jihad M. Ajlouni
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
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Shaher T. Alhadidi
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, PhD
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Ahmad I. El-Share
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, MSc
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  • For correspondence: [email protected]
Mohammad A. Jarbeh
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, MSc
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Anas A. Al-Oweidi
From the Department of Anesthesia and Intensive Care (Aloweidi, Abu Halaweh, Al-Mustafa, Massad, Qudaisat, El-Share, Jarbeh); from the Department of Orthopedics (Khanfar, Ajlouni Alhadidi), School of Medicine; and from the Department of Internal Medicine (Al-Oweidi), Faculty of Medicine, University of Jordan, Amman, Jordan.
MD, BSc
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    Figure 1

    - A STROBE flowchart.

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    Table 1

    - Descriptive summary of general sample data illustrating patients’ improvement (N=99).

    Variablesn (%)Successful treatmentNumber of courses for successNumber of sessions for improvement
    Gender
    Males64 (64.6)87.5%7.62.2
    Females35 (35.3)88.5%103.4
    CRPS
    Type I79 (79.8)88%8.442.66
    Type II20 (20.2)85%9.182.53
    Affected limb
    Upper83 (83.8)86.7%8.72.4
    Lower16 (16.2)93.7%7.93.5
    Precipitating factors
    Trauma87 (87.9)---
    Surgery6 (6.1)---
    Burn1 (1.0)---
    Unknown5 (5.0)---

    Values are presented as a number and precentage (%). CRPS: complex regional pain syndrome

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    Saudi Medical Journal: 43 (10)
    Saudi Medical Journal
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    Combining Stellate ganglion block and intravenous regional anesthesia to treat complex regional pain syndrome
    Abdelkarim S. Aloweidi, Sami A. Abu Halaweh, Mahmoud M. Al-Mustafa, Islam M. Massad, Ibraheem Y. Qudaisat, Aws M. Khanfar, Jihad M. Ajlouni, Shaher T. Alhadidi, Ahmad I. El-Share, Mohammad A. Jarbeh, Anas A. Al-Oweidi
    Saudi Medical Journal Oct 2022, 43 (10) 1168-1172; DOI: 10.15537/smj.2022.43.10.20220318

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    Combining Stellate ganglion block and intravenous regional anesthesia to treat complex regional pain syndrome
    Abdelkarim S. Aloweidi, Sami A. Abu Halaweh, Mahmoud M. Al-Mustafa, Islam M. Massad, Ibraheem Y. Qudaisat, Aws M. Khanfar, Jihad M. Ajlouni, Shaher T. Alhadidi, Ahmad I. El-Share, Mohammad A. Jarbeh, Anas A. Al-Oweidi
    Saudi Medical Journal Oct 2022, 43 (10) 1168-1172; DOI: 10.15537/smj.2022.43.10.20220318
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    Keywords

    • complex regional pain syndrome
    • causalgia
    • pain
    • regional anesthesia
    • reflex sympathetic dystrophy
    • intravenous regional anesthesia
    • Stellate ganglion block
    • sympathetic dysfunction

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