Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric Population
INTRODUCTION[|]Pain control for a post-dural puncture headache (PDPH) can be challenging. Epidural blood patching (EBP) is recommended; however, EBP is an interventional procedure with the risk of bleeding, infection, and adverse neurological effects. The aim of this study was to evaluate the effect...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2021-01-01
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| Series: | Southern Clinics of Istanbul Eurasia |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-39358 |
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| author | Mehmet Yılmaz Vildan Kılıç Yılmaz Ayşe Zeynep Turan Ünal Türkay Hasan Terzi Yunus Gürkan Türker Kemal Tolga Saraçoğlu |
| author_facet | Mehmet Yılmaz Vildan Kılıç Yılmaz Ayşe Zeynep Turan Ünal Türkay Hasan Terzi Yunus Gürkan Türker Kemal Tolga Saraçoğlu |
| author_sort | Mehmet Yılmaz |
| collection | DOAJ |
| description | INTRODUCTION[|]Pain control for a post-dural puncture headache (PDPH) can be challenging. Epidural blood patching (EBP) is recommended; however, EBP is an interventional procedure with the risk of bleeding, infection, and adverse neurological effects. The aim of this study was to evaluate the effects of a transnasal sphenopalatine ganglion block (SPGB) as supportive PDPH treatment.[¤]METHODS[|]Pregnant women undergoing a cesarean section under spinal anesthesia who developed PDPH were included in this prospective randomized study. The enrolled subjects were randomly assigned to 2 groups: a medical treatment group (n=10) and a group that would receive medical treatment with the addition of SPGB (n=10). Visual analog scale (VAS) scores were recorded at the time of admission, and at 4, 12, and 24 hours after treatment.[¤]RESULTS[|]There was no statistically significant difference between the 2 groups in terms of age, height, weight, or body mass index. The mean VAS values at the baseline, 12th hour, and 24th hour were similar between the groups. However, the mean VAS score at the fourth hour was significantly lower in the block group (p=0.002).[¤]DISCUSSION AND CONCLUSION[|]A unilateral SPGB is a rapid and effective method to treat PDPH. However, the safety of this technique requires further research due to complications encountered, including a seizure.[¤] |
| first_indexed | 2024-04-10T14:06:23Z |
| format | Article |
| id | doaj.art-44c4f7cdcec64e9c831fea9bf2e90699 |
| institution | Directory Open Access Journal |
| issn | 2587-0998 |
| language | English |
| last_indexed | 2024-04-10T14:06:23Z |
| publishDate | 2021-01-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Southern Clinics of Istanbul Eurasia |
| spelling | doaj.art-44c4f7cdcec64e9c831fea9bf2e906992023-02-15T16:09:56ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982021-01-0131433533910.14744/scie.2020.39358SCIE-39358Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric PopulationMehmet Yılmaz0Vildan Kılıç Yılmaz1Ayşe Zeynep Turan2Ünal Türkay3Hasan Terzi4Yunus Gürkan Türker5Kemal Tolga Saraçoğlu6Department of Anesthesiology and Intensive Care, Health Sciences University, Kocaeli Derince Training and Research Hospital, Kocaeli, TurkeyDepartment of Pain Therapy, Health Sciences University, Kocaeli Derince Training and Research Hospital, Kocaeli, TurkeyDepartment of Anesthesiology and Intensive Care, Health Sciences University, Kocaeli Derince Training and Research Hospital, Kocaeli, TurkeyDepartment of Obstetrics and Gynecology, Health Sciences University, Kocaeli Derince Training and Research Hospital, Kocaeli, TurkeyDepartment of Obstetrics and Gynecology, Health Sciences University, Kocaeli Derince Training and Research Hospital, Kocaeli, TurkeyDepartment of Pain Therapy, Uludağ University Faculty of Medicine, Bursa, TurkeyDepartment of Anesthesiology and Intensive Care, Health Sciences University, Kartal Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyINTRODUCTION[|]Pain control for a post-dural puncture headache (PDPH) can be challenging. Epidural blood patching (EBP) is recommended; however, EBP is an interventional procedure with the risk of bleeding, infection, and adverse neurological effects. The aim of this study was to evaluate the effects of a transnasal sphenopalatine ganglion block (SPGB) as supportive PDPH treatment.[¤]METHODS[|]Pregnant women undergoing a cesarean section under spinal anesthesia who developed PDPH were included in this prospective randomized study. The enrolled subjects were randomly assigned to 2 groups: a medical treatment group (n=10) and a group that would receive medical treatment with the addition of SPGB (n=10). Visual analog scale (VAS) scores were recorded at the time of admission, and at 4, 12, and 24 hours after treatment.[¤]RESULTS[|]There was no statistically significant difference between the 2 groups in terms of age, height, weight, or body mass index. The mean VAS values at the baseline, 12th hour, and 24th hour were similar between the groups. However, the mean VAS score at the fourth hour was significantly lower in the block group (p=0.002).[¤]DISCUSSION AND CONCLUSION[|]A unilateral SPGB is a rapid and effective method to treat PDPH. However, the safety of this technique requires further research due to complications encountered, including a seizure.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-39358post-dural puncture headachesphenopalatine ganglion block; spinal anesthesia. |
| spellingShingle | Mehmet Yılmaz Vildan Kılıç Yılmaz Ayşe Zeynep Turan Ünal Türkay Hasan Terzi Yunus Gürkan Türker Kemal Tolga Saraçoğlu Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric Population Southern Clinics of Istanbul Eurasia post-dural puncture headache sphenopalatine ganglion block; spinal anesthesia. |
| title | Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric Population |
| title_full | Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric Population |
| title_fullStr | Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric Population |
| title_full_unstemmed | Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric Population |
| title_short | Transnasal Sphenopalatine Ganglion Block For Treatment of Post-Dural Puncture Headache in Obstetric Population |
| title_sort | transnasal sphenopalatine ganglion block for treatment of post dural puncture headache in obstetric population |
| topic | post-dural puncture headache sphenopalatine ganglion block; spinal anesthesia. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-39358 |
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