The effect of preoperative stellate ganglion block on postoperative delirium in elderly patients undergoing gastrointestinal oncologic surgery: protocol for a randomized, double-blind, sham-controlled trial - Scorecard - MDSpire

The effect of preoperative stellate ganglion block on postoperative delirium in elderly patients undergoing gastrointestinal oncologic surgery: protocol for a randomized, double-blind, sham-controlled trial

  • By

  • Rongrong Song

  • Yuqin Huang

  • Jie Liu

  • Xingyu Wang

  • Yuqian Liu

  • Fanli Wang

  • Fang Wu

  • XiaXia Li

  • Yang Liu

  • Lu Cao

  • Yan Liu

  • Guojieying Wang

  • Minghong Gui

  • Yingbin Wang

  • Xiangfei Huang

  • June 16, 2026

  • 0 min

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Clinical Scorecard: Impact of Preoperative Stellate Ganglion Block on Postoperative Delirium in Older Adults Undergoing Gastrointestinal Cancer Surgery: A Protocol for a Randomized, Double-Blind, Sham-Controlled Study

At a Glance

CategoryDetail
Condition
Key Mechanisms
Target Population
Care Setting

Key Highlights

  • POD occurs in 35%-48% of elderly patients post-gastrointestinal surgery
  • SGB may reduce incidence and severity of POD
  • Study includes 174 elderly patients randomized to SGB or sham block
  • Primary outcome: cumulative incidence of POD within postoperative days 1-3
  • Secondary outcomes include delirium severity, inflammatory biomarkers, and recovery metrics

Guideline-Based Recommendations

Diagnosis

    Management

    • Implement a multicomponent delirium-prevention bundle for all participants (source needed)

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Elderly patients (≥60 years) scheduled for elective gastrointestinal cancer surgery

        SGB administered with 0.375% ropivacaine, two blocks before surgery

        Clinical Best Practices

        • Utilize ultrasound-guided SGB as a targeted intervention for high-risk older surgical oncology patients (source needed)

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        Original Source(s)

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