Sphenopalatine ganglion block for postdural puncture headache in ambulatory setting

Cardoso, José Miguel; Sá, Miguel; Graça, Rita; Reis, Hugo; Almeida, Liliana; Pinheiro, Célia; Machado, Duarte

doi:10.1016/j.bjane.2016.09.003

Cited by 8 publications

(11 citation statements)

References 6 publications

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“…El abordaje de la CPPD siempre estuvo presente en la práctica de la anestesiología [5]. Los tratamientos están basados en su fisiopatología, tomando en consideración dos teorías principales que rigen la gé-Figura 1.…”

Section: Discussionunclassified

“…Siguiendo este concepto, la pérdida de LCR debido a la punción dural provoca que otros constituyentes intracraneales aumenten sus volúmenes, a fin de que la presión intracraneal y la presión de perfusión cerebral permanezcan constantes. Por ser el tejido cerebral un componente con poca capacidad de expansión aguda, es el volumen sanguíneo intracraneal el que aumenta agudamente, secundario a la vasodilatación, sugiriendo que la CPPD presentará alivio con restauración del volumen de LCR intracraneal, con el uso de vasoconstrictores cerebrales o también por bloqueo del mecanismo de vasodilatación, confiriendo, de este modo, alivio sintomático [1], [5], [6], [7].…”

Section: Discussionunclassified

“…El aplicador debe permanecer en la cavidad nasal durante 15 a 20 min, con algunos relatos de hasta 40 min. Es evidente que el BGEP por abordaje transnasal es una técnica no invasiva, simple, segura, con menor incomodidad para el paciente, de fácil aprendizaje, bajo costo, gran aplicabilidad en la práctica e inicio de acción rápido, factores que señalan que se trata de una alternativa segura al PSE [5], [7].…”

Section: Discussionunclassified

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Bloqueo del ganglio esfenopalatino, una opción para el tratamiento de la cefalea postpunción dural

Sousa¹,

Opolski²,

Carstens³

et al. 2020

Rev. chil. anest.

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Section: Discussionunclassified

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Bloqueo del ganglio esfenopalatino, una opción para el tratamiento de la cefalea postpunción dural

Sousa¹,

Opolski²,

Carstens³

et al. 2020

Rev. chil. anest.

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“…There has been increased interest in regional analgesic techniques for treatment of PDPH, due to their success in the treatment of other headache syndromes. Several case reports and case series have been published regarding the use of peripheral nerve blocks (PNBs) for PDPH, most of which report the use of sphenopalatine ganglion block (SPGB), greater occipital nerve block (GONB) and trigger point infiltration (TPI) 5–12…”

Section: Introductionmentioning

confidence: 99%

Postdural puncture headache in the obstetric population: a new approach?

Xavier

Pinho

Silva

et al. 2020

Reg Anesth Pain Med

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Background and objectivesThe gold standard for the treatment of postdural puncture headache (PDPH) is the epidural blood patch (EBP). Regional techniques—sphenopalatine ganglion block (SPGB), greater occipital nerve block (GONB) and trigger point infiltration (TPI)—can also be used for the treatment of PDPH. Our objective was to evaluate the efficacy of these peripheral nerve blocks (PNBs) in the treatment of PDPH.MethodsA retrospective study was conducted including all patients with PDPH in the obstetrics department of our institution between April 2016 and December 2017. Data were retrieved from clinical records regarding anesthetic technique, symptoms, treatment, Numeric Pain Score (NPS) before and after treatment, among others.ResultsWe observed 50 cases of PDPH: 25 following spinal anesthesia, 19 following epidural block and 6 following combined spinal-epidural. Of these, seven were managed conservatively and one received EBP as first-line treatment. The remaining 42 patients received PNB as first-line treatment. Of these, 27 received only 1 course of PNB, while 15 received 2 courses. We observed a statistically significant improvement in the NPS after the first course of blocks (n=42), with a reduction of the median NPS by 6.0 (IQR 4.0–7.5; p<0.001). Improvement was also observed after the second course of blocks (n=15), with a reduction of the median NPS of 3.5 (IQR 1.5–5.0; p=0.02). Due to treatment failure, 9 of the 42 patients treated with PNB required EBP. None of these were cases following spinal anesthesia.ConclusionSPGB, GONB and TPI can be safe and effective options for treatment of PDPH, but do not completely eliminate the need for EBP. Prospective studies designed to identify factors associated with unsuccessful treatment are required.

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“…Sphenopalatine ganglion block for the treatment of postdural puncture headache is a technique that has been found to be safe and effective. [ 1 2 ] The utility of this noninvasive technique has been established in the emergency department[ 3 ] and in outpatient setting[ 4 ] also for various types of headaches. The usual technique of performing this block is to keep the patient in the supine position and inserting an applicator in the nose with a cotton swab soaked with 2%–4% lignocaine or viscous lignocaine.…”

mentioning

confidence: 99%

Intranasal lignocaine spray for sphenopalatine ganglion block for postdural puncture headache

Dubey

2018

Saudi J Anaesth

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Sphenopalatine ganglion block for postdural puncture headache in ambulatory setting

Cited by 8 publications

References 6 publications

Bloqueo del ganglio esfenopalatino, una opción para el tratamiento de la cefalea postpunción dural

Bloqueo del ganglio esfenopalatino, una opción para el tratamiento de la cefalea postpunción dural

Postdural puncture headache in the obstetric population: a new approach?

Intranasal lignocaine spray for sphenopalatine ganglion block for postdural puncture headache

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