Stellate Ganglion Block for Prevention of Post Mastectomy Depression

Preemptive Efficacy of Stellate Ganglion Block for Prevention of Post Mastectomy Depression

Complications after mastectomy include chronic pain and depression.

A mastectomy is surgery could be associated with complications include chronic pain and depression. In female breast cancer patients, the incidence of postoperative depression was 46.55%. Stellate ganglion block had been used for treating post-traumatic stress disorder (PTSD) and depression symptoms even in its prevention. Also, it used in treatment of chronic pain.

Inclusion Criteria:

• Female patients
• Age ranging from 18 to 65 years
• American Society of Anesthesiologists (ASA) no more than II
• Had unilateral cancer breast
• Scheduled to do unilateral modified radical mastectomy

Exclusion Criteria:

• Pregnant female
• Existing Horner syndrome
• Had any neuromuscular disease
• Had allergy to local anesthetics
• History of use of analgesics
• Had any deformity or a previous surgery in the neck or ipsilateral arm or breast
• Had any contraindication to the procedure (coagulation disorders, local infection, sepsis)
• Had any contraindication to the sympathetic blockade (decompensate cardiopulmonary or hemodynamic disorders)
• History of psychotic disorder including depression, bipolar disorder or personality disorder
• Patient with Beck Depression Inventory (BDI) score more than 13