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Postdural puncture headache patients treated with Conservative treatment

Postdural puncture headache patients treated with Sphenopalatine Ganglion Block and conservative treatment

The patients in Group C were given continuous bed rest in the supine position, 3000 mL daily hydration, 6 mg kg-1 aminophylline , 2 g day-1 paracetamol and 65 mg day-1 caffeine as conservative treatment. Topical SGB was applied to patients in Group SGB in addition to conservative treatment.

Conservative Treatment for Postdural Puncture Headache

Burak Kaya, MD

Serbülent Gökhan Beyaz, Prof MD

Ayça Taş Tuna, As Prof MD

Havva Kocayiğit, MD

Background: Postdural puncture headache (PDPH), which is one of the complications of spinal anesthesia, is a condition that negatively affects the quality of life of patients, causes late mobilization and prolonged hospital stay. Sphenopalatine ganglion block (SGB) has created a minimally invasive, easy, and safe treatment alternative.

Objective: Evaluating the effectiveness of topical SGB on PDPH treatment. Design: Retrospective observational study Setting: Single center tertiary level of care hospital study. The files of PDPH patients between Jan 2018 and Jan 2020 were scanned.

Patients: PDPH patients aged 18-65 are included and any patients with primary/secondary headache history are excluded.

Main outcome measures: Patients were divided into 2 groups. The group that given only conservative treatment was named as Group C, and the group of patients who had additionally been applied SGB was named as Group SGB. Headache severity was measured with Visual Analogue Scale (VAS) at the 1st,3rd, 12th and 24th hours of the treatment, in supine and upright position.

Sphenopalatine Ganglion Block for Postdural Puncture Headache

Effectiveness of Sphenopalatine Ganglion Block on Postdural Puncture Headache Treatment: A Retrospective Observational Study

Headache severity changes with Visual Analogue Scale (VAS, 0-10, 0: no pain, 10:worst pain)

At the 24th hour of their follow-up, all patients with a VAS\>3 (Visual Analogue Scale) headache in an upright position are considered as unsuccessful treatment and are directed to the epidural blood patch procedure. Both groups will be compared with successfully treated patients ratios.

Sakarya University

Anesthesiology and Reanimation Specialist, MD

Central Nervous System Depressants

Bupivacaine

Anesthetics

Anesthetics, Local

sphenopalatine ganglion block performed with normal saline as the placebo

sphenopalatine ganglion block performed with bupivacaine

bupivacaine

placebo

Peter H Pan, MD, MSEE

The investigators are attempting to determine a less invasive method of treatment for postdural puncture headaches that can occur after regional anesthesia. The investigators will be evaluating the relief of headache with those subjects receiving treatment with a sphenopalatine ganglion block with bupivacaine versus placebo, evaluating the incidence of epidural blood patch, pain score of headache at 1 hour, then 24, 48, and 72 hours lower with post study treatment versus placebo, and potential side effects of those patients receiving study therapy as well as epidural blood patch.

Sphenopalatine Ganglion Block for Post-Dural Puncture Headache

Sphenopalatine Ganglion Block for Treatment of Postdural Puncture Headache: A Prospective Randomized Double Blind Placebo Controlled Study

a reduction in headache verbal pain score by 3

evaluating the decrease in the necessity of an epidural blood patch to treat the postdural puncture headache

patient satisfaction with headache pain relief at 1 hour post treatment

verbal pain score 30 minutes post study treatment

verbal pain score 7 days post study treatment

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Sphenopalatine Ganglion Block for Postdural Puncture Headache	NCT04892290	Postdural Punct...	Conservative Tr...	18 Years - 65 Years	Sakarya University
Sphenopalatine Ganglion Block for Postdural Puncture Headache	NCT04892290	Postdural Punct...	Conservative Tr...	18 Years - 65 Years	Sakarya University
Sphenopalatine Ganglion Block for Post-Dural Puncture Headache	NCT02181205	Postdural Punct... Sphenopalatine ...	bupivacaine placebo	18 Years - 45 Years	Wake Forest University Health Sciences

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