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    Sympathetic Chain: Fellowship Interventional Pain Management Angkatan V - Kelompok E

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    Nugroho Satya
    The sympathetic chain is a paired bundle of nerve fibers running from the base of the skull to the coccyx alongside the vertebral bodies. It is part of the autonomic nervous system and delivers information about stress to trigger the fight or flight response. Sympathetic preganglionic fibers originate in the spinal cord from T1-L2 and synapse in ganglia along the sympathetic trunk or in collateral ganglia near target organs. Postganglionic fibers then innervate the head, thorax, abdomen, and pelvis, regulating functions like heart rate, digestion, and reproductive processes. Some preganglionic fibers bypass ganglia and synapse directly in organs. Others terminate in the adrenal medulla, stimulating the

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    Sympathetic Chain: Fellowship Interventional Pain Management Angkatan V - Kelompok E

    Uploaded by

    Nugroho Satya
    25 views30 pages
    The sympathetic chain is a paired bundle of nerve fibers running from the base of the skull to the coccyx alongside the vertebral bodies. It is part of the autonomic nervous system and delivers information about stress to trigger the fight or flight response. Sympathetic preganglionic fibers originate in the spinal cord from T1-L2 and synapse in ganglia along the sympathetic trunk or in collateral ganglia near target organs. Postganglionic fibers then innervate the head, thorax, abdomen, and pelvis, regulating functions like heart rate, digestion, and reproductive processes. Some preganglionic fibers bypass ganglia and synapse directly in organs. Others terminate in the adrenal medulla, stimulating the

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    Sympathetic chain pain

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    SYMPATHETIC CHAIN

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    The sympathetic chain is a paired bundle of nerve fibers running from the base of the skull to the coccyx alongside the vertebral bodies. It is part of the autonomic nervous system and delivers information about stress to trigger the fight or flight response. Sympathetic preganglionic fibers originate in the spinal cord from T1-L2 and synapse in ganglia along the sympathetic trunk or in collateral ganglia near target organs. Postganglionic fibers then innervate the head, thorax, abdomen, and pelvis, regulating functions like heart rate, digestion, and reproductive processes. Some preganglionic fibers bypass ganglia and synapse directly in organs. Others terminate in the adrenal medulla, stimulating the

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    25 views30 pages

    Sympathetic Chain: Fellowship Interventional Pain Management Angkatan V - Kelompok E

    Uploaded by

    Nugroho Satya
    The sympathetic chain is a paired bundle of nerve fibers running from the base of the skull to the coccyx alongside the vertebral bodies. It is part of the autonomic nervous system and delivers information about stress to trigger the fight or flight response. Sympathetic preganglionic fibers originate in the spinal cord from T1-L2 and synapse in ganglia along the sympathetic trunk or in collateral ganglia near target organs. Postganglionic fibers then innervate the head, thorax, abdomen, and pelvis, regulating functions like heart rate, digestion, and reproductive processes. Some preganglionic fibers bypass ganglia and synapse directly in organs. Others terminate in the adrenal medulla, stimulating the

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 30

    SYMPATHETIC

    CHAIN
    FELLOWSHIP INTERVENTIONAL PAIN MANAGEMENT
    ANGKATAN V – KELOMPOK E
    A paired bundle of nerve fibers that run from the base of skull
    to the coccyx, just lateral to the vertebral bodies

    A part of the autonomy nervous system

    They delivery information to the body about stress and


    impending stress and are responsible for fight, fraight of
    flight response
    Pathway with
    synapses in
    trunk ganglia

    Pathway to the Pathway to the


    head thorax
    Sympathetic preganglionic fibers serving the head emerge from spinal cord
    segments T1-T4

    Ascend the sympathetic trunk to synapse with ganglionic neurons in the


    superior cervical ganglion

    Serving the skin and blood vessels of the head, stimulate the dilator muscles
    or the irises, inhibit the nasal and salivary glands, innervate the smooth
    muscle that lift the upper eyelid, direct branches to the heart
    Sympathetic preganglionic fibers innervating the thoracic organs
    originate at T1-T6, run to synapse in the cervical trunk ganglia

    Postganglionic fiber emerging from middle and inferior cervical


    ganglia

    Some of these fibers innervate the heart via the cardiac plexus,
    and some innervate the thyroid gland, but most serve the skin
    Some T1-T6 preganglionic fibers synapse in the nearest
    trunk ganglion, and the postganglonic fibers pass directly
    to the organ served

    Fibers to the heart, aorta, lungs, and esophagus, take this


    direct route. Along the way, they run into the plexuses
    associated with those organs
    Pathway with
    synapses in
    collateral ganglia

    Pathway to the Pathway to the


    abdomen pelvis
    Most of the preganglionic fibers from T5 down synapse in collateral ganglia,
    and so most of these fibers enter and leave the sympathetic trunks without
    synapsing

    They form several nerves called splanchnic nerves, thoracic splanchnic nerves
    (greater, lesser, and least) and the lumbar and sacral splanchnic nerves

    The splanchnic nerves contribute to a number of interweaving nerve plexuses


    known collectively as the abdominal aortic plexus. Contains several ganglia
    that together serve the abdominopelvic viscera

    The most important of these ganglia are celiac, superior mesenteric and
    inferior mesenteric ganglia
    Postganglionic fibers
    Travel in the thoracic
    Sympathetic innervation of issuing from these ganglia
    splanchnic nerves to
    the abdomen is via serve the stomach,
    synapse mainly at the celiac
    preganglionic fibers from intestines (except the distal
    and superior mesenteric
    T5 to L2 half of the large intestine),
    ganglia
    liver, spleen, and kidneys
    Preganglionic fibers innervating the pelvis originate from T10 to L2
    and then descend in the sympathetic trunk to the lumbar and sacral
    trunk ganglia

    Some fibers synapse there and the postganglionic fibers run in


    lumbar and sacral splanchnic nerves to plexuses on the lower aorta
    and in the pelvis

    Other preganglionic fibers pass directly to these autonomic plexuses


    and synapse in collateral ganglia, such as the inferior mesenteric
    ganglion

    Postganglionic fibers proceed from these plexuses to the pelvic


    organs (the urinary blader and reproductive organs) and also the
    distal half of large intestine
    Pathways with synapses in the adrenal
    medulla
    Some fibers traveling in the thoracic splanchnic nerves pass
    through the celiac ganglion without synapsing and terminate
    by synapsing with the hormone-producing medullary cells of
    the adrenal gland

    When stimulated by preganglionic fibers, the medullary cell


    secrete NE and epinephrine into the blood, producing the
    excitatory effects
    THANKS YOU

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