Sphenopalatine ganglion block for postdural puncture headache in ambulatory setting

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Bilateral transnasal sphenopalatine block for treating postdural puncture headache

puncture headache (PDPH) with great interest. The author has reviewed the literature and has very thoroughly discussed the diagnosis, risk factors, pathophysiology, prevention, and treatment of PDPH. In this letter, we want to mention another simple technique that can be performed at the bedside or in the outpatient department and is effective at relieving PDPH. The procedure is known as transn...

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Sphenopalatine Ganglion Block for Headache and Pain

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Postdural puncture headache

Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a p...

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Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy

The sphenopalatine ganglion (SPG) is a parasympathetic ganglion, located in the pterygopalatine fossa. The SPG block has been used for a long time for treating headaches of varying etiologies. For anesthesiologists, treating postdural puncture headaches (PDPH) has always been challenging. The epidural block patch (EBP) was the only option until researchers explored the role of the SPG block as ...

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Postdural puncture headache and pregabalin

BACKGROUND Even if carried out under optimal conditions, postdural puncture headache is still a frustrating and unpleasant complication in spinal anesthesia. This syndrome has an estimated incidence from less than 1% to about 5% of patients undergoing spinal anesthesia, even in the highest risk subset, the young, female, and pregnant population. CASE PRESENTATION In our two female cases, head...

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ژورنال

عنوان ژورنال: Brazilian Journal of Anesthesiology (English Edition)

سال: 2017

ISSN: 0104-0014

DOI: 10.1016/j.bjane.2016.09.003