Table 3

Case reports describing benefits of sympathetic blockade

History of patientDescribed effect of sympathetic blockade
A 71-year-old woman with Enterococcusfaecalis sepsis received stellate ganglion block.Complete resolution of digital ischaemia within an hour of stellate ganglion block, with the effects lasting for 2 days.17
A 40-year-old woman with pneumococcal sepsis received stellate ganglion and brachial plexus blocks.Improved peripheral perfusion.3 5
A 16-month-old, asplenic child with sepsis, with a pre-existing traumatic brachial plexus palsy.Sparing of purpura fulminans on the limb with palsy. Other protective mechanisms such as decreased muscle use and oxygen consumption may have contributed.10