Question

A patient becomes tachycardic and begins coughing during stellate ganglion blockade, as the needle is advanced in an oblique approach to the uncinate process of C7. What is the next step in evaluation and/or treatment?

A. Order a chest x-ray.
B. Reassure the patient that this is normal.
C. Reposition the patient.
D. Administer more sedation.
E. Administer seizure prophylaxis.

Answer 1

The next step in evaluation and/or treatment when a patient becomes tachycardic and begins coughing during stellate ganglion blockade is to reposition the patient.

Step-by-step explanation:

In the event of tachycardia and coughing during stellate ganglion blockade, the immediate action should be to reposition the patient. Repositioning ensures patient safety, comfort, and facilitates the correct administration of the blockade. The oblique approach to the uncinate process of C7 may stimulate unintended nerve structures, causing the observed symptoms. Repositioning allows for a more accurate needle placement and minimizes the risk of complications. Careful monitoring of vital signs during the procedure is essential, and addressing adverse reactions promptly ensures a safer intervention. This emphasizes the importance of real-time adjustments to optimize patient outcomes and procedural efficacy.