Urgent ultrasound-guided bilateral stellate ganglion blocks in a patient with medically refractory ventricular arrhythmias

Objectives: To describe the successful treatment of medically refractory ventricular arrhythmias in the ICU with ultrasoundguided bilateral stellate ganglion blocks. Data Sources: The data were gathered from the medical record. Study Selection: This case was selected as it describes the use of ultrasound in the successful termination of a recurrent, malignant arrhythmia, rather than fluoroscopy, to perform bilateral stellate ganglion blocks at the patient's bedside in the ICU. Data Extraction: The data were extracted from the medical record. Data Synthesis: The data were synthesized from the patient's medical record. Conclusions: Performance of stellate ganglion blocks at the bedside in the ICU is feasible for patients who are suffering from refractory ventricular arrhythmias. This potentially life-saving block can be performed using ultrasound guidance, sparing the patient transport to a fluoroscopy suite.