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Sphenopalatine Ganglion Block For Post-Dural Puncture Headache In Obstetric Parturients

Not Applicable
Conditions
Health Condition 1: O745- Spinal and epidural anesthesia-induced headache during labor and delivery
Registration Number
CTRI/2022/05/042612
Lead Sponsor
Sir Ganga Ram Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

All consenting obstetric parturients aged 18-45 years who receive neuraxial block for labour or caesarean delivery with development of PDPH within 72 h of dural puncture will be eligible to participate.

Exclusion Criteria

Parturient with chronic neurological disorder (epilepsy), bleeding disorder, allergy to local anaesthetics, deformity of the nasal septum, nasal polyps, frequent nosebleeds, those with nasal or sinus surgery within the past year or refusal to participate will be ineligible to participate

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To assess efficacy of SPG block in terms of pain relief after PDPHTimepoint: 5min, 30 min, 2h, 4h, 8h,12h, 24h and 48 h
Secondary Outcome Measures
NameTimeMethod
A.To observe at different time intervals <br/ ><br>1)Pain relief in supine and sitting position <br/ ><br>2)Numerical rating score (NRS) more than 3 in sitting position <br/ ><br>B.Time to first analgesic dose after the SPG block <br/ ><br>C.Relief in associated symptoms of PDPH (nausea, vomiting, visual changes, neck pain and stiffness) <br/ ><br>D.Presence of adverse effects (discomfort, change in taste, numbness in throat, epistaxis) associated with the block <br/ ><br>E.Need for epidural blood patch <br/ ><br>F.Parturient satisfaction <br/ ><br>Timepoint: 5min, 30 min, 2h, 4h, 8h,12h, 24h and 48 h
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