Ropivacaine use in transnasal sphenopalatine ganglion block for post dural puncture headache in obstetric patients – case series

Furtado, Inês; Lima, Isabel Flor de; Pedro, Sérgio

doi:10.1016/j.bjane.2017.11.007

Cited by 8 publications

(12 citation statements)

References 13 publications

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“…Concerning anesthesia technique, peridural anesthesia was performed 10 times (14, 16, 18-21, 24, 26, 29, 31); subarachnoid anesthesia was reported in ten studies (17,20,(25)(26)(27)(28)(29)(30)(31)(32); combined spinal-epidural (CSE) technique was performed in three studies (15,18,26); finally, in two studies (21,23) patients underwent diagnostic lumbar puncture (LP).…”

Section: Resultsmentioning

confidence: 99%

“…In the study by Türkyilmaz et al, spinal blocks were performed using 26-gauge needles with an atraumatic bevel (Atraucan ® , B-Braun, Melsunger, Germany) (32). PDPH appeared between the first (18,22,23,27,29) and seventh (14) day after the anesthetic procedure.…”

Section: Resultsmentioning

confidence: 99%

“…Peripheral nerve blocks. Sphenopalatine ganglion block was performed using cotton-tip applicators dipped into local anesthetic: 0.5% levobupivacaine (14), 2% lidocaine (21,22,24), 4% lidocaine (16,23), 0.75% ropivacaine (18,19), and a mixture of 4% lidocaine and 0.5% ropivacaine (20). In two studies (15,25), 0.75% ropivacaine was respectively injected using a spinal needle and an epidural catheter.…”

Section: Resultsmentioning

confidence: 99%

“…In 30 participants (13% of total), epidural blood patch was required. Two patients required a second EBP (18), while a second GONB was necessary after unsuccessful EBP in Niraj et al (31). The remaining patients showed complete pain resolution following the rescue procedure.…”

Section: Other Therapeutic Interventionsmentioning

confidence: 97%

“…In five patients, the procedure had to be repeated after 1 h (17). A second SPGB was performed in 2 patients after 24 h with relief in the next hour (18); two other patients received EBP. In Jespersen et al (20) A total of 3 patients treated with GONB (27, 32) received a second nerve block with pain resolution.…”

Section: Other Therapeutic Interventionsmentioning

confidence: 99%

See 4 more Smart Citations

Peripheral Nerve Blocks for Postdural Puncture Headache: A New Solution for an Old Problem?

Giaccari

Aurilio

Coppolino

et al. 2021

In Vivo

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Background/Aim: Postdural puncture headache (PDPH) is one of the earliest recognized complications of regional anesthesia after inadvertent dural puncture. Epidural blood patch (EBP) is the "gold standard" for the treatment of PDPH. Several alternatives have been suggested as peripheral nerve blocks. The aim of this systematic review was to find out the potential efficacy and safety of peripheral nerve blocks for the treatment of PDPH. Materials and Methods: The main databases were systematically searched in September 2020 for studies examining regional anesthesia and PDPH. Results: Nineteen studies were identified, including a total of 221 patients. Sphenopalatine ganglion block, greater occipital nerve block, and lesser occipital nerve block were performed. All participants reported a numeric rating scale (NRS) <4 after peripheral nerve blocks at 1, 24 and 48 h. Only patients with PDPH after diagnostic lumbar puncture reported NRS ≥4 after 48 h. No major adverse events were reported. Approximately, 17% of patients underwent a second or more peripheral nerve blocks. In 30 participants, EBP was required. Conclusion: To our knowledge, this is the first systematic review on the use of peripheral nerve blocks to treat PDPH. Peripheral nerve blocks can be considered as analgesic options in the management of PDPH.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Other Therapeutic Interventionsmentioning

confidence: 97%

Section: Other Therapeutic Interventionsmentioning

confidence: 99%

See 3 more Smart Citations

Peripheral Nerve Blocks for Postdural Puncture Headache: A New Solution for an Old Problem?

Giaccari

Aurilio

Coppolino

et al. 2021

In Vivo

View full text Add to dashboard Cite

show abstract

Transnasal sphenopalatine ganglion block for postdural puncture headache in obstetric patients: A Malaysian experience report

Kassim

Kamar

Zakariah

et al. 2022

Journal of Taibah University Medical Sciences

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Efficacy and efficiency of sphenopalatine ganglion block for management of post-dural puncture headache in obstetric patients: a randomized clinical trial

Mowafi

Abdelrazik

2022

Ain-Shams J Anesthesiol

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Background This clinical trial aimed to study the efficacy and efficiency of sphenopalatine ganglion block (SPGB) for the management of post-dural puncture headache (PDPH) in obstetric patients. A prospective randomized clinical trial was carried out on 40 patients with PDPH divided randomly into two equal groups. Paracetamol group (PG): The patients received 1 g of paracetamol three times per day intravenously for 1 day. If adequate pain relief was not achieved, rescue analgesia in the form of intravenous ketorolac was given. Block group (SPGBG): The patients received bilateral SPGB using 3 ml mixture of lignocaine with dexamethasone in each nostril. The pain score, heart rate, and mean arterial pressure were recorded. The onset of analgesia, duration of analgesia, adverse effects, total dose of ketorolac, patient satisfaction, and hospital stay for epidural blood patch (EBP) or hospital discharge after 24 h were also documented. Results The pain perception (numeric rating scale [NRS]) in the block group was generally lower throughout the study showing only highly significant difference till the first 2 h after the block with more rapid onset and longer duration of analgesia. The total dose of rescue analgesic in mg was significantly lower in the block group and hospital stay for EBP was significantly less in the block group with higher patient satisfaction. Conclusions PDPH can be treated effectively and rapidly with transnasal SPGB, which is a noninvasive, safe, and easy method with a low complication rate. Trial registration ClinicalTrials.gov, NCT04793490. Registered on March 11, 2021; https://clinicaltrials.gov/ct2/show/NCT04793490).

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Ropivacaine use in transnasal sphenopalatine ganglion block for post dural puncture headache in obstetric patients – case series

Cited by 8 publications

References 13 publications

Peripheral Nerve Blocks for Postdural Puncture Headache: A New Solution for an Old Problem?

Peripheral Nerve Blocks for Postdural Puncture Headache: A New Solution for an Old Problem?

Transnasal sphenopalatine ganglion block for postdural puncture headache in obstetric patients: A Malaysian experience report

Efficacy and efficiency of sphenopalatine ganglion block for management of post-dural puncture headache in obstetric patients: a randomized clinical trial

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