Endoscopic sphenopalatine ganglion blockade efficacy in pain control after endoscopic sinus surgery

Al‐Qudah, Mohannad

doi:10.1002/alr.21644

Cited by 26 publications

(51 citation statements)

References 23 publications

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“…If we set the minimal clinically important difference (MCID) to 1.3 cm, both results reached statistical and clinical significance. The 24‐hour average reached only statistical significance ( P = .0007, in favour of LAB) …”

Section: Resultsmentioning

confidence: 87%

“…Although the author reported the differences as statistically significant, a P value was not given therefore the results are unreliable. Moreover, the study failed to describe the regimen of rescue analgesia; that is, whether the administration was patient‐controlled or based on the certain pain score threshold …”

Section: Resultsmentioning

confidence: 94%

“…In this study, although meta‐analysis could not be performed due to heterogeneity of data, three authors described significantly lower pain scores in LAB group when compared to control group. Al Qudah et al showed a reduction in pain following LAB up to 24 hours after surgery; other studies showed significantly reduced pain scores for 15 and 90 minutes postoperatively when compared to control group. However, in postoperative pain, it seems reasonable to anchor clinical relevance to the patients’ experience.…”

Section: Discussionmentioning

confidence: 93%

“…Four studies described the effect of LAB on postoperative pain (Table ) . Data could not be pooled in the meta‐analysis due to heterogeneity of data.…”

Section: Resultsmentioning

confidence: 99%

“…The sphenopalatine ganglion nerve block is used to treat facial pain, headache of various aetiologies, and non‐malignant and malignant neck pain . In ESS, there are several randomised controlled trials evaluating the role of LAB, however, these studies have reported conflicting results …”

Section: Introductionmentioning

confidence: 99%

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Role of local anaesthetic nerve block in endoscopic sinus surgery: A systematic review and meta‐analysis

Shamil

Rouhani

Basetti

et al. 2018

Clinical Otolaryngology

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Sphenopalatine ganglion LAB with adrenaline carries relatively low risk of morbidity, but may improve the quality of the surgical field in terms of bleeding. However, there are limitations of the study due to heterogeneity of methods, quality and size of the studies. Well-conducted large RCTs are needed using standardised inclusion criteria, balanced baseline characteristics of cohorts, and validated subjective and objective outcome measures.

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Section: Resultsmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 93%

“…Four studies described the effect of LAB on postoperative pain (Table ) . Data could not be pooled in the meta‐analysis due to heterogeneity of data.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Role of local anaesthetic nerve block in endoscopic sinus surgery: A systematic review and meta‐analysis

Shamil

Rouhani

Basetti

et al. 2018

Clinical Otolaryngology

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Perioperative analgesia for patients undergoing endoscopic sinus surgery: an evidence‐based review

Svider

Nguyen

Yuhan

et al. 2018

Int Forum Allergy Rhinol

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There is evidence supporting the use of NSAIDs and gabapentin for the control of pain after endoscopic sinus surgery. Acetaminophen, α-agonists, and local anesthetics are also viable options for postoperative analgesia. Familiarity with these data is essential to facilitate the use of opioid alternatives. Further large-scale, multi-institutional, randomized trials are needed to provide conclusive recommendations for these perioperative analgesics.

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The effectiveness of endoscopic sphenopalatine ganglion block in management of postoperative pain after septal surgery

Ekici

Alagöz

2019

Int Forum Allergy Rhinol

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Background: This study evaluated the effect of bilateral endoscopic sphenopalatine ganglion block (SPGB) for management of postoperative pain in patients undergoing septoplasty.Methods: Sixty septoplasty patients (51.7% male, 48.3% female, aged 18 to 45 years) were randomly assigned to general anesthesia (GA) alone (control) (n = 30) or GA plus endoscopic SPGB (n = 30). Demographic data, duration of surgery, blood loss, postoperative visual analogue scale (VAS) pain scores (upon arrival at the postanesthesia care unit [PACU] and 2, 6, 12, and 24 hours after surgery), overall analgesic usage (end of 24 and 168 hours a er surgery), overall satisfaction with the pain control (end of 24 and 168 hours a er surgery), and complications (bleeding, nausea and vomiting, and visual disturbance) were recorded.Results: Pain scores upon arrival to the PACU and 2, 6, 12, and 24 hours a er surgery were significantly lower in the SPGB group compared to the control group (p < 0.001). Moreover, the SPGB group had significantly lower anal-gesic requirements and higher satisfaction scores with their pain control at the end of 24 and 168 hours a er surgery compared to the control group (p < 0.001). The 2 groups significantly differed in terms of intraoperative blood loss (p = 0.024), and surgery time was longer in the SPGB group compared to the control group (p < 0.001).Conclusion: SPGB with bupivacaine is a safe and effective method to reduce pain a er septoplasty, and it is a costeffective alternative to high doses of analgesics. C 2019 ARS-AAOA, LLC. How to Cite this Article: Ekici NY, Alagöz S. The effectiveness of endoscopic sphenopalatine ganglion block in management of postoperative pain a er septal surgery. Int Forum Allergy Rhinol. 2019;9:1521-1525.E ffective management of postoperative pain is a critical component of nasal surgery. Insufficient pain management can lead to poor outcomes, including decreased patient satisfaction, long-term hospitalization and delayed resumption of work, treatment with high doses of analgesics, and increased healthcare costs. Despite considerable improvements in analgesia and surgical techniques, there is no consensus for pain control and avoidance of overprescription after nasal surgery. Numerous pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDS), gabapentin with or without intravenous dexamethasone,

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Endoscopic sphenopalatine ganglion blockade efficacy in pain control after endoscopic sinus surgery

Abstract: Sphenopalatine ganglion injection of lidocaine at the end of surgery is safe, simple, noninvasive, and an effective method of short-term pain control after sinus surgery.

Cited by 26 publications

References 23 publications

Role of local anaesthetic nerve block in endoscopic sinus surgery: A systematic review and meta‐analysis

Role of local anaesthetic nerve block in endoscopic sinus surgery: A systematic review and meta‐analysis

Perioperative analgesia for patients undergoing endoscopic sinus surgery: an evidence‐based review

The effectiveness of endoscopic sphenopalatine ganglion block in management of postoperative pain after septal surgery

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