Usefulness of galvanic skin reflex monitor in CT-guided thoracic sympathetic blockade for palmar hyperhidrosis

Hiroyuki Uchino, Seiichi Sasaki, Hitoshi Miura, Go Hirabayashi, Takahisa Nishiyama, Takashi Ohta, Nagao Ishii, Tatsushi Ito

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Computed tomography (CT)-guided thoracic sympathetic blockade with ethanol was performed while monitoring sympathetic nerve activity, with an alternating current (AC) galvanic skin reflex (GSR) monitor, in a patient with palmar hyperhidrosis in whom endoscopic thoracic sympathectomy was impossible because of pleural adhesion. Sweating was suppressed after the thoracic sympathetic blockade, and the monitor showed a significant increase in skin resistance. The effect of sympathetic blockade could be evaluated directly and in real time using a GSR monitor.

Original languageEnglish
Pages (from-to)403-408
Number of pages6
JournalJournal of Anesthesia
Volume21
Issue number3
DOIs
StatePublished - Aug 2007
Externally publishedYes

Keywords

  • CT-guided thoracic sympathetic blockade
  • Endoscopic thoracic sympathectomy
  • Galvanic skin resistance
  • Hyperhidrosis
  • Pleural adhesion

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