42 - Stellate ganglion block

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Try answering this question from the AIPGME 2009 paper.

Q:Which of the following is not a sign of successful stellate ganglion block?

a. Nasal stuffiness

b. Guttman sign

c. Horner's syndrome

d. Bradycardia

answer d. Bradycardia

*The nasal stuffiness or nasal congestion that occurs as a result of the obstruction of the ipsilateral half of the nose is called GUTTMAN SIGN. It is an important sign of the successful stellate ganglion block.
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41 - Mallampatti grading

*The Mallampati classification is a commonly used means of preoperatively predicting a difficult endotracheal intubation. As the grade increases, the difficulty in intubating the patient also increases.
*A reduced thyromental distance combined with a mallampati class III or IV predicts 80% of difficult intubations.
*The patient is examined in a sitting position, with the head in the neutral position and mouth opened to allow the examination of pharynx. The patient is asked to open his/her mouth as wide as possible and protrude the tongue fully.

Qbase Anaesthesia 4: MCQs for the Primary FRCA