SlideShare a Scribd company logo
1 of 36
Paravertebral cervical sympathetic block Dr. Ahmed Helmy Abouel Soud Board member of ESMP Professor of Pain Relief, N.C.I., Cairo University, Egypt
History   ,[object Object],[object Object],[object Object]
Paravertebral sympathetic chain & ganglia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient selection   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indications of Stellate block ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contraindications ,[object Object],[object Object]
Applied anatomy and important relations   Preganglionic fibers  ,[object Object],[object Object]
Preganglionic axons ,[object Object]
 
Stellate ganglion ,[object Object],[object Object],[object Object]
Stellate ganglion ,[object Object],[object Object]
Stellate ganglion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stellate ganglion ,[object Object],[object Object]
Stellate ganglion ,[object Object],[object Object]
Important anomaly ,[object Object]
Clinical importance of  Kuntz's nerves ,[object Object],[object Object]
The other Cervical sympathetic ganglia ,[object Object],[object Object],[object Object]
Methods of block ,[object Object],[object Object]
Techniques ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anterior paratracheal technique ,[object Object],[object Object],[object Object],[object Object]
Anterior paratracheal technique ,[object Object],[object Object]
Anterior paratracheal technique ,[object Object],[object Object]
Anterior paratracheal technique ,[object Object],[object Object]
Anterior paratracheal technique ,[object Object],[object Object]
Clinical evidence of the block ,[object Object],[object Object]
Side effects & complications ,[object Object],[object Object],[object Object],[object Object]
Neurodestruction  Methods   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RF Principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why Radiofrequency   ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Technique   ,[object Object],[object Object]
RF  Thermal Lesions ,[object Object],[object Object]
RF   Parameters ,[object Object],[object Object],[object Object]
Results   ,[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]
Alleviate pain, save fingers and stop sweating

More Related Content

What's hot

Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesiaDr Kumar
 
Opioids & Their Use in Anaesthesia
Opioids & Their Use in Anaesthesia Opioids & Their Use in Anaesthesia
Opioids & Their Use in Anaesthesia Zareer Tafadar
 
Neurophysiology and Neuroanaesthesia
Neurophysiology and NeuroanaesthesiaNeurophysiology and Neuroanaesthesia
Neurophysiology and NeuroanaesthesiaAnum Anwar
 
Peripheral nerve blocks
Peripheral nerve blocksPeripheral nerve blocks
Peripheral nerve blocksAmit Lall
 
Neuromonitoring in anesthesia
Neuromonitoring in anesthesiaNeuromonitoring in anesthesia
Neuromonitoring in anesthesiaAntara Banerji
 
Gas laws in anaesthesia
Gas laws in anaesthesiaGas laws in anaesthesia
Gas laws in anaesthesiaDavis Kurian
 
Spinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & PhysiologySpinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & PhysiologyDr.Daber Pareed
 
Controlled hypotension in anesthesia
Controlled hypotension in anesthesiaControlled hypotension in anesthesia
Controlled hypotension in anesthesiaTenzin yoezer
 
Minimum alveolar concentration (mac)
Minimum alveolar concentration (mac)Minimum alveolar concentration (mac)
Minimum alveolar concentration (mac)Torrentz Tiku
 
Airway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAirway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAPARNA SAHU
 
Pecs block, serratus plane block with literature review when and how
Pecs block, serratus plane block with literature review  when and howPecs block, serratus plane block with literature review  when and how
Pecs block, serratus plane block with literature review when and how부휘 홍
 
Complications of Regional Anesthesia
Complications of Regional AnesthesiaComplications of Regional Anesthesia
Complications of Regional AnesthesiaDr.Mahmoud Abbas
 
Thoracic and abdominal nerve blocks
Thoracic and abdominal nerve blocksThoracic and abdominal nerve blocks
Thoracic and abdominal nerve blockstapashbk
 
Scalp block and New GCS (GCS-P)
Scalp block and New GCS (GCS-P)Scalp block and New GCS (GCS-P)
Scalp block and New GCS (GCS-P)Tenzin yoezer
 

What's hot (20)

Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesia
 
Opioids & Their Use in Anaesthesia
Opioids & Their Use in Anaesthesia Opioids & Their Use in Anaesthesia
Opioids & Their Use in Anaesthesia
 
Neurophysiology and Neuroanaesthesia
Neurophysiology and NeuroanaesthesiaNeurophysiology and Neuroanaesthesia
Neurophysiology and Neuroanaesthesia
 
Lower limb blocks
Lower limb blocksLower limb blocks
Lower limb blocks
 
Peripheral nerve blocks
Peripheral nerve blocksPeripheral nerve blocks
Peripheral nerve blocks
 
Anaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeriesAnaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeries
 
Neuromonitoring in anesthesia
Neuromonitoring in anesthesiaNeuromonitoring in anesthesia
Neuromonitoring in anesthesia
 
TAP block .pptx
TAP block .pptxTAP block .pptx
TAP block .pptx
 
Brachial plexus block
Brachial plexus blockBrachial plexus block
Brachial plexus block
 
Gas laws in anaesthesia
Gas laws in anaesthesiaGas laws in anaesthesia
Gas laws in anaesthesia
 
Spinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & PhysiologySpinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & Physiology
 
Controlled hypotension in anesthesia
Controlled hypotension in anesthesiaControlled hypotension in anesthesia
Controlled hypotension in anesthesia
 
Minimum alveolar concentration (mac)
Minimum alveolar concentration (mac)Minimum alveolar concentration (mac)
Minimum alveolar concentration (mac)
 
Xenon anaesthesia
Xenon anaesthesiaXenon anaesthesia
Xenon anaesthesia
 
Airway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAirway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implication
 
Pecs block, serratus plane block with literature review when and how
Pecs block, serratus plane block with literature review  when and howPecs block, serratus plane block with literature review  when and how
Pecs block, serratus plane block with literature review when and how
 
Complications of Regional Anesthesia
Complications of Regional AnesthesiaComplications of Regional Anesthesia
Complications of Regional Anesthesia
 
Thoracic and abdominal nerve blocks
Thoracic and abdominal nerve blocksThoracic and abdominal nerve blocks
Thoracic and abdominal nerve blocks
 
Scalp block and New GCS (GCS-P)
Scalp block and New GCS (GCS-P)Scalp block and New GCS (GCS-P)
Scalp block and New GCS (GCS-P)
 
Airway assessment
Airway assessmentAirway assessment
Airway assessment
 

Viewers also liked

Ans + stellate ganglion block
Ans + stellate ganglion blockAns + stellate ganglion block
Ans + stellate ganglion blockAbhinav Gupta
 
Neuraxial and Truncal Regional Anesthesia
Neuraxial and Truncal Regional AnesthesiaNeuraxial and Truncal Regional Anesthesia
Neuraxial and Truncal Regional AnesthesiaBrian Allen
 
Antibiotic Induced Sepsis
Antibiotic Induced SepsisAntibiotic Induced Sepsis
Antibiotic Induced Sepsiscairo1957
 
Minor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric ProceduresMinor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric Procedurescairo1957
 
Scoring systems in traumatized children
Scoring systems in traumatized childrenScoring systems in traumatized children
Scoring systems in traumatized childrencairo1957
 
Anesthesia for children with long QT syndrome
Anesthesia for children with long QT syndromeAnesthesia for children with long QT syndrome
Anesthesia for children with long QT syndromecairo1957
 
Update in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in PediatricsUpdate in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in Pediatricscairo1957
 
Ultrasound Guided Regional Anesthesia
Ultrasound Guided Regional AnesthesiaUltrasound Guided Regional Anesthesia
Ultrasound Guided Regional AnesthesiaHossam Tameem
 
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal AtresiaAnesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresiacairo1957
 
Anaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in PediatricsAnaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in Pediatricscairo1957
 
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric AnesthesiaCuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesiacairo1957
 
Quitting Smoking
Quitting SmokingQuitting Smoking
Quitting Smokingcairo1957
 
Problem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric AnesthesiaProblem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric Anesthesiacairo1957
 
Problem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric AnesthesiaProblem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric Anesthesiacairo1957
 
Modified stellate ganglion block
Modified stellate ganglion  blockModified stellate ganglion  block
Modified stellate ganglion blockAshok Jadon
 
Bronchial Asthma
Bronchial AsthmaBronchial Asthma
Bronchial Asthmacairo1957
 
Anesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway SurgeryAnesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway Surgerycairo1957
 
Smoking Cessation
Smoking CessationSmoking Cessation
Smoking Cessationcairo1957
 

Viewers also liked (20)

Ans + stellate ganglion block
Ans + stellate ganglion blockAns + stellate ganglion block
Ans + stellate ganglion block
 
Cervical sympathectomy
Cervical sympathectomyCervical sympathectomy
Cervical sympathectomy
 
Neuraxial and Truncal Regional Anesthesia
Neuraxial and Truncal Regional AnesthesiaNeuraxial and Truncal Regional Anesthesia
Neuraxial and Truncal Regional Anesthesia
 
Pain Management
Pain ManagementPain Management
Pain Management
 
Antibiotic Induced Sepsis
Antibiotic Induced SepsisAntibiotic Induced Sepsis
Antibiotic Induced Sepsis
 
Minor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric ProceduresMinor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric Procedures
 
Scoring systems in traumatized children
Scoring systems in traumatized childrenScoring systems in traumatized children
Scoring systems in traumatized children
 
Anesthesia for children with long QT syndrome
Anesthesia for children with long QT syndromeAnesthesia for children with long QT syndrome
Anesthesia for children with long QT syndrome
 
Update in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in PediatricsUpdate in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in Pediatrics
 
Ultrasound Guided Regional Anesthesia
Ultrasound Guided Regional AnesthesiaUltrasound Guided Regional Anesthesia
Ultrasound Guided Regional Anesthesia
 
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal AtresiaAnesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
 
Anaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in PediatricsAnaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in Pediatrics
 
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric AnesthesiaCuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
 
Quitting Smoking
Quitting SmokingQuitting Smoking
Quitting Smoking
 
Problem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric AnesthesiaProblem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric Anesthesia
 
Problem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric AnesthesiaProblem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric Anesthesia
 
Modified stellate ganglion block
Modified stellate ganglion  blockModified stellate ganglion  block
Modified stellate ganglion block
 
Bronchial Asthma
Bronchial AsthmaBronchial Asthma
Bronchial Asthma
 
Anesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway SurgeryAnesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway Surgery
 
Smoking Cessation
Smoking CessationSmoking Cessation
Smoking Cessation
 

Similar to Paravertebral Cevical Sympathetic Block

165792 upper-extremity-muscle
165792 upper-extremity-muscle165792 upper-extremity-muscle
165792 upper-extremity-muscleYoAmoNYC
 
165792 upper-extremity-muscle
165792 upper-extremity-muscle165792 upper-extremity-muscle
165792 upper-extremity-muscleabctutor
 
Muscles of Upper Extremities
Muscles of Upper ExtremitiesMuscles of Upper Extremities
Muscles of Upper ExtremitiesExamville.com LLC
 
SPINAL CORD NEUROANATOMY BY Dr.Deepika.T
SPINAL CORD NEUROANATOMY BY Dr.Deepika.TSPINAL CORD NEUROANATOMY BY Dr.Deepika.T
SPINAL CORD NEUROANATOMY BY Dr.Deepika.TDr.Deepika T
 
Brachial plexus block new
Brachial plexus block newBrachial plexus block new
Brachial plexus block newnarasimha reddy
 
Anatomy of brachial plexus
Anatomy of brachial plexusAnatomy of brachial plexus
Anatomy of brachial plexusAmeyDixit6
 
BRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENT
BRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENTBRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENT
BRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENTashupara
 
CT procedure of neck
CT procedure of neckCT procedure of neck
CT procedure of neckSabitaMandal1
 
Anatomy of spine for spinal anaesthesia
Anatomy of spine for spinal anaesthesiaAnatomy of spine for spinal anaesthesia
Anatomy of spine for spinal anaesthesiaZIKRULLAH MALLICK
 
Chapter 8-spinal anaesthesia
Chapter 8-spinal anaesthesiaChapter 8-spinal anaesthesia
Chapter 8-spinal anaesthesiaCHERUDUGASE
 
Thoracic outlet syndrome
Thoracic outlet syndrome Thoracic outlet syndrome
Thoracic outlet syndrome NeurologyKota
 
Basic spine injections
Basic spine injectionsBasic spine injections
Basic spine injectionsTim M
 
CRANIOSPINAL IRRADIATION-PART 1
CRANIOSPINAL IRRADIATION-PART 1CRANIOSPINAL IRRADIATION-PART 1
CRANIOSPINAL IRRADIATION-PART 1Rejil Rajan
 
Brachial plexus injury
Brachial plexus injuryBrachial plexus injury
Brachial plexus injuryPaudel Sushil
 
CT procedure of neck, Avinesh Shrestha
CT procedure of neck, Avinesh ShresthaCT procedure of neck, Avinesh Shrestha
CT procedure of neck, Avinesh ShresthaAvinesh Shrestha
 

Similar to Paravertebral Cevical Sympathetic Block (20)

dr. Nur Surya Wirawan - Stellate Ganglion Block ISAPM 2015
dr. Nur Surya Wirawan - Stellate Ganglion Block ISAPM 2015dr. Nur Surya Wirawan - Stellate Ganglion Block ISAPM 2015
dr. Nur Surya Wirawan - Stellate Ganglion Block ISAPM 2015
 
165792 upper-extremity-muscle
165792 upper-extremity-muscle165792 upper-extremity-muscle
165792 upper-extremity-muscle
 
165792 upper-extremity-muscle
165792 upper-extremity-muscle165792 upper-extremity-muscle
165792 upper-extremity-muscle
 
Muscles of Upper Extremities
Muscles of Upper ExtremitiesMuscles of Upper Extremities
Muscles of Upper Extremities
 
SPINAL CORD NEUROANATOMY BY Dr.Deepika.T
SPINAL CORD NEUROANATOMY BY Dr.Deepika.TSPINAL CORD NEUROANATOMY BY Dr.Deepika.T
SPINAL CORD NEUROANATOMY BY Dr.Deepika.T
 
Brachial plexus block new
Brachial plexus block newBrachial plexus block new
Brachial plexus block new
 
Anatomy of brachial plexus
Anatomy of brachial plexusAnatomy of brachial plexus
Anatomy of brachial plexus
 
BRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENT
BRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENTBRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENT
BRACHIAL PLEXUS INJURY: EVALUATION AND MANAGEMENT
 
CT procedure of neck
CT procedure of neckCT procedure of neck
CT procedure of neck
 
Anatomy of spine for spinal anaesthesia
Anatomy of spine for spinal anaesthesiaAnatomy of spine for spinal anaesthesia
Anatomy of spine for spinal anaesthesia
 
Neuraxial block
Neuraxial blockNeuraxial block
Neuraxial block
 
Peripheral nerve blocks
Peripheral nerve blocksPeripheral nerve blocks
Peripheral nerve blocks
 
Chapter 8-spinal anaesthesia
Chapter 8-spinal anaesthesiaChapter 8-spinal anaesthesia
Chapter 8-spinal anaesthesia
 
Sympathectomy
SympathectomySympathectomy
Sympathectomy
 
Thoracic outlet syndrome
Thoracic outlet syndrome Thoracic outlet syndrome
Thoracic outlet syndrome
 
Basic spine injections
Basic spine injectionsBasic spine injections
Basic spine injections
 
CRANIOSPINAL IRRADIATION-PART 1
CRANIOSPINAL IRRADIATION-PART 1CRANIOSPINAL IRRADIATION-PART 1
CRANIOSPINAL IRRADIATION-PART 1
 
Spinal injuries
Spinal injuriesSpinal injuries
Spinal injuries
 
Brachial plexus injury
Brachial plexus injuryBrachial plexus injury
Brachial plexus injury
 
CT procedure of neck, Avinesh Shrestha
CT procedure of neck, Avinesh ShresthaCT procedure of neck, Avinesh Shrestha
CT procedure of neck, Avinesh Shrestha
 

More from cairo1957

Anesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart DiseaseAnesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart Diseasecairo1957
 
Child with OSA Anesthetic considerations
Child with OSA Anesthetic considerationsChild with OSA Anesthetic considerations
Child with OSA Anesthetic considerationscairo1957
 
Role of ultrasound in ICU
Role of ultrasound in ICURole of ultrasound in ICU
Role of ultrasound in ICUcairo1957
 
Anesthesia during the first year of Life
Anesthesia during the first year of LifeAnesthesia during the first year of Life
Anesthesia during the first year of Lifecairo1957
 
The Lung & Diabetes Mellitus
The Lung & Diabetes MellitusThe Lung & Diabetes Mellitus
The Lung & Diabetes Mellituscairo1957
 
Acute Lung Injury & ARDS
Acute Lung Injury & ARDSAcute Lung Injury & ARDS
Acute Lung Injury & ARDScairo1957
 
Pulmonary Embolism
Pulmonary EmbolismPulmonary Embolism
Pulmonary Embolismcairo1957
 
Sequelae & Complications of Pneumonectomy
Sequelae & Complications of PneumonectomySequelae & Complications of Pneumonectomy
Sequelae & Complications of Pneumonectomycairo1957
 
Mechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPDMechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPDcairo1957
 
Thoracoscopy
ThoracoscopyThoracoscopy
Thoracoscopycairo1957
 

More from cairo1957 (12)

Anesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart DiseaseAnesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart Disease
 
Child with OSA Anesthetic considerations
Child with OSA Anesthetic considerationsChild with OSA Anesthetic considerations
Child with OSA Anesthetic considerations
 
Role of ultrasound in ICU
Role of ultrasound in ICURole of ultrasound in ICU
Role of ultrasound in ICU
 
Anesthesia during the first year of Life
Anesthesia during the first year of LifeAnesthesia during the first year of Life
Anesthesia during the first year of Life
 
The Lung & Diabetes Mellitus
The Lung & Diabetes MellitusThe Lung & Diabetes Mellitus
The Lung & Diabetes Mellitus
 
Acute Lung Injury & ARDS
Acute Lung Injury & ARDSAcute Lung Injury & ARDS
Acute Lung Injury & ARDS
 
Pulmonary Embolism
Pulmonary EmbolismPulmonary Embolism
Pulmonary Embolism
 
Sequelae & Complications of Pneumonectomy
Sequelae & Complications of PneumonectomySequelae & Complications of Pneumonectomy
Sequelae & Complications of Pneumonectomy
 
Mechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPDMechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPD
 
Thoracoscopy
ThoracoscopyThoracoscopy
Thoracoscopy
 
Dyspnea
DyspneaDyspnea
Dyspnea
 
Smoking
SmokingSmoking
Smoking
 

Recently uploaded

97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...rajnisinghkjn
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000aliya bhat
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 

Recently uploaded (20)

97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 

Paravertebral Cevical Sympathetic Block

  • 1. Paravertebral cervical sympathetic block Dr. Ahmed Helmy Abouel Soud Board member of ESMP Professor of Pain Relief, N.C.I., Cairo University, Egypt
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.  
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Alleviate pain, save fingers and stop sweating