Hello everyone, I finally had my first block this morning for my crps in my left arm, and it no time at all on the operating table. After the procedure while in the recovery room my vitals were monitored and the temperature of both hands were taken. I've got a tip for anyone that will be having this procedure done.

1. If your rsd/crps is in your upper extremity, ask the nurse to first do your extremity temperature BEFORE she/he takes your blood pressure on the opposite arm. I say this because when the cuff is inflated, it squeezes your blood vessles and of course you have pressure there and it will lower your temperature because your there is less blood flow below the cuff. Thus making the temperature much lower on that extremity. If given Lactate Ringer fluids, or any IV fluids prior to taking the temp on your wrist. These solutions 'may' have been is kept in a cool Pixes machine along with other solutions such as D5 Normal Saline, etc. I say "may" because it is not always kept there, sometimes it's kept in the supply room on a shelf. Either way the solution is cool when administered. Thus lowering the temp of that arm.
This is what happened to me today. The my temp was again taken bilaterally in the recovery room with the Lactate Ringer hanging IN MY RIGHT ARM. The temp in my left arm (crps) had risen to 96.3 from 97.2, while the right arm temp was lower. She took the temp in that right arm five time before it came up to 96.9. I told her that my right arm has been mirroring the left arm.

2. I did have the droppy left eye, and my voice was slightly horse. My heart rate had dropped to 57 beats per minute which called (bradycardia). The nurse said, "okay everything looks great!" I told her that the normal heart rate for a healthy adult is between 60-100 beats per minute. She didn't say much, just gave this look as if to say, "how did you know that?" I've worked in the medical field since 1977, but one doesn't have to had been in that field to know such a thing as that. I heart rate stayed in the fifties and she didn't tell the doctor about it or anyone else. Well at least while I was there
in recovery. The doctor came in and ask how was my pain (which was at a 4 when I had gotten there) and I told him it was the same, but I also said maybe it will take a minute or two for it to kick in. Make sure you ask your nurse what your BP is as well as your heart rate. You can also ask for a copy of her "Flow Sheet" (report sheet), or have someone write it down for you.

3.Be aware of for adults any beats above 100 bpm is called (tachycardia which is very rapid) or below 60 bpm (bradycardia which is slow) — especially if you have other signs or symptoms, such as fainting, dizziness or shortness of breath.
TELL YOUR NURSE IF THE ABOVE OTHER SIGNS AND SYMPTOMS ARE PRESENT!!!!!!! DON'T LET THIS BE DISMISSED! While on the table my BP went to 155/113, but the Ganglion Block is known to raise the BP, as well as RSD/CRPS.

My left arm, hand injury was in 2008. I wasn't diagnosis with crps until two months ago. Before leaving the Surgical Center my pain was at a 3, and by the time I got home (twenty minute drive) it was back to around a 4plus, and my BP is even worse. My throat isn't sore anymore, and to tell the truth it wasn't all "that" sore after the procedure. I was given a pain report sheet to chart down my discomfort daily. I'm more than certain that I will be having this procedure done again, and hopefully with better results. Hopefully these tips will help someone, or just something that we all need to be aware of when it comes to terms for heart rates.

If anyone of you have had this procedure done, please let me know if it help, and how many times you've had it before it helped you. Since it has been almost two years since I was diagnosis, maybe these blocks will not be of much use. I will be seeing the Pain doctor in about a week, at such time I will let him no my concerns. This is a Workers Comp Pain Doctor and believe me it differently is a company man. I would ask for a different PM but he is my second w/c PM, and I don't think I can request another. I'll ask my attorney about that. I hope the following information is helpful for those who have children.
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http://www.baby-medical-questions-an...blood-pressure.

Normal Heart, Breathing and Blood Pressure Rates for Children
Preschool group.


The normal rates of heart, breathing and blood pressure for babies, toddlers and older children.

When the heart or breathing (respiratory) rate is slower or faster than normal, it is often a sign that all is not well. Usually, there will be other signs as well - to read more about signs of illness in babies and toddlers.

The heart rate (pulse) is elevated when children are unwell. It might just be because they have a fever but it may be something more serious - read more. If the heart rate is slower than normal, particularly in babies, that also can be a sign that not all is well.

In babies the easiest place to feel the pulse is on the upper arm above the elbow joint - feel under the biceps muscle. In older children, you can feel the pulse at the wrist.

Age (years) Heart Rate (beats per minute)

< 1 110 - 160



1 - 2 100 - 150


2 - 5 95 - 140


5 - 12 80 - 120


> 12 60 - 100


Respiratory Rate by age at rest:

A high respiratory (breathing) rate is usually a sign of breathing difficulty but in children is also seen with heart conditions (like heart failure). Usually when the rate is high due to breathing difficulties, you will also see signs of increased effort or work of breathing.

Age (years) Breathing Rate (breaths per minute)


< 1 30 - 40


1 - 2 25 - 35


2 - 5 25 - 30


5 - 12 20 - 25


> 12 15 - 20



Systolic Blood Pressure by age

Low blood pressure is a sign of shock. High blood pressure in infants, toddlers and older children is usually the result of disease, such as kidney problems.

Age (years) Systolic Blood Pressure (mm Hg)


< 1 70 - 90


1 - 2 80 - 95


2 - 5 80 - 100


5 - 12 90 - 110


>12 100 - 120


The pulse, breathing and blood pressure rates given are a guide to what is normal in children. Always see your doctor or health care provider if you are worried about your child, even if their pulse and respiratory rates are normal.

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THIS IS HOW TO CHECK YOUR PULSE AT HOME! www.wikihow.com/Check-Your-Pulse

# Use your fingers when finding a pulse. Don't use your THUMB when finding it, as IT HAS IT'S OWN PULSE!

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Check radial pulse (wrist). This is also known as the pulse on the inside of the wrist. Use the pads of three fingers. Place these just below the wrist creases at the base of the thumb. Press lightly until you feel a pulse (blood pulsing under your fingers). If necessary, move fingers around until you feel the pulse.
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Check carotid pulse (NECK). Alternatively, to feel a pulse on the side of the neck, place two fingers, preferably your index and middle finger, in the hollow between the windpipe and the large muscle in the neck. Press lightly until you feel a pulse.

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Check and record the rate, strength and rhythm. Use a watch or clock with a second hand. Make a note of the rate of the pulse, which is the number of beats per minute. Check the strength of the pulse to see if it is strong or weak and if the rhythm is regular or irregular.

* If you don't have a watch or a clock around, the Cleveland Clinic Health System recommends counting the beats you feel for 15 seconds and multiplying this by four to get your heart rate per minute:

I hope this was helpful to someone
Thanks Lefty