Sphenopalatine ganglion block for the treatment of postdural puncture headache: a randomised, blinded, clinical trial.

@article{Jespersen2020SphenopalatineGB,
  title={Sphenopalatine ganglion block for the treatment of postdural puncture headache: a randomised, blinded, clinical trial.},
  author={Mads Seit Jespersen and Pia Jaeger and Karen Lehrmann {\aE}gidius and Maria Louise Fabritius and Patricia Duch and Ida Rye and Arash Afshari and Christian Sylvest Meyhoff},
  journal={British journal of anaesthesia},
  year={2020}
}
View on PubMed
doi.org
26 Citations
Highly Influential Citations
1
Background Citations
5
Methods Citations
1
Results Citations
1

26 Citations

The efficacy of sphenopalatine ganglion block for the treatment of postdural puncture headache among obstetric population
TLDR
A systematic review showed that SPGB is a promising treatment modality for the management of PDPH with no reported complications and is calling for randomized clinical trials to prove its efficacy.
Peripheral Nerve Blocks for Postdural Puncture Headache: A New Solution for an Old Problem?
TLDR
This is the first systematic review on the use of peripheral nerve blocks to treat Postdural puncture headache and it can be considered as analgesic options in the management of PDPH.
Toward precision regional anesthesia: is the PENG block appropriate for all hip fracture surgeries?
TLDR
In conclusion, nasal stimulationinduced lacrimation served as a measure of activation of the trigeminal autonomic reflex and the parasympathetic output in recent trials investigating the effects of vagal nerve stimulation, and it is necessary to differentiate between a single nasal spray and leaving a cottontipped applicator into the nose for a prolonged period of time, which may lead to desensitization and modulation of the knots.
Risk Factors for Developing Postlumbar Puncture Headache: A Case-Control Study
  • L. N. NielsenM. Vámosi
  • Medicine
    The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
  • 2020
TLDR
Patients with a lower systolic blood pressure had a statistically significantly increased risk of Postlumbar puncture headache, and younger age was also associated with an increasedrisk of PLPH.
Intranasal local anesthetic application: possible mechanisms of action
  • S. Narouze
  • Medicine
    Regional anesthesia and pain medicine
  • 2021
TLDR
It is clear from the previous report that intranasal application of local anesthetic is not a true sphenopalatine ganglion (SPG) block based on anatomical and clinical observations, and the issue of monitoring a clinical biomarker to confirm parasympathetic SPG blockade in future research is raised.
Use of sphenopalatine ganglion block in patients with postdural puncture headache: a pilot meta-analysis
Use of sphenopalatine ganglion block in patients with postdural puncture headache: a pilot meta-analysis Kuo-Chuan Hung, Jen-Yin Chen, Chun-Ning Ho and Cheuk-Kwan Sun Department of Anesthesiology,…
Dural Puncture During Spinal Cord Stimulator Lead Insertion: Analysis of Practice Patterns
TLDR
It is found that decision choices were minimally influenced by whether the dural puncture occurred during the trial or the permanent implant, rendering the options of abandoning or continuing after duraluncture as reasonable methods.
Sphenopalatine Ganglion Block for Headache and Pain
  • Medicine
  • 2019
TLDR
Contracts exclude from coverage, among other things, services or procedures that are considered investigational or cosmetic that the members are likely to be financially responsible for the cost of these services.
Facing postdural puncture headache in COVID-19 times
TLDR
The recent report by Levin and Cohen describing safe, simple and inexpensive methods to administer the sphenopalatine ganglion block (SGB) shows a faster relief by SGB and fewer complications than epidural blood.
Response to comments by Dr Forero to our daring discourse
TLDR
It is still do not believe that the test of time will show that the ESPB will merit to be included among the aforementioned wellestablished blocks in the context of anterior surgery on the chest or abdomen but instead will share the fate of the interpleural nerve block.
...
...

References

SHOWING 1-10 OF 25 REFERENCES
Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in obstetric patients.
Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in the ED.
Noninvasive sphenopalatine ganglion block for acute headache in the emergency department: a randomized placebo-controlled trial.
Topical Sphenopalatine Ganglion Block Compared With Epidural Blood Patch for Postdural Puncture Headache Management in Postpartum Patients: A Retrospective Review
TLDR
A greater number of patients experienced a quicker onset of headache relief, without any new complications, from treatment with SPGB versus EBP, and believe that SPGB is a safe, inexpensive, and well-tolerated treatment.
Nerve Stimulator‐Guided Occipital Nerve Blockade for Postdural Puncture Headache
TLDR
A prospective, randomized, single‐blinded comparison between bilateral occipital blockade and conventional expectant therapy in adults suffering from postdural puncture headache found the studied method is superior to expectant conservative therapy in the treatment of patients suffering from PDPH.
[Sphenopalatine ganglion block for treatment of post-dural puncture headache].
TLDR
Transnasal sphenopalatine ganglion (SPG) block is discussed: a new, simple and minimally invasive procedure for the treatment of post-dural puncture headache by applying local anaesthesia through the patient's nose to the nasopharynx.
Greater occipital nerve block for postdural puncture headache (PDPH): a prospective audit of a modified guideline for the management of PDPH and review of the literature.
Ultrasound-guided bilateral greater occipital nerve block for the treatment of post-dural puncture headache
TLDR
For patients with PDPH and a pre-block VAS score between 4 and 6 who do not respond to conservative medical treatment, an ultrasound-guided bilateral occipital nerve block may be effective.
Ultrasound-Guided Bilateral Greater Occipital Nerve Block for the Treatment of Postdural Puncture Headache.
TLDR
The patients with a postdural puncture headache received conservative medical treatment and as medical treatment was ineffective, they received ultrasound-guided greater bilateral occipital nerve block.
The Pterygopalatine Ganglion and its Role in Various Pain Syndromes: From Anatomy to Clinical Practice
TLDR
To arouse the interest of the modern‐day clinicians in the use of the SPGB, the advantages, disadvantages, and modifications of the available methods for blockade are discussed.
...
...