Sphenopalatine Ganglion Block With Adrenaline Additive for Post-Dural Puncture Headache in Orthopedic Patients: A Randomized Controlled Study
试验速览
- 阶段
- 4 期
- 入组人数
- 60
- 主要终点
- Efficacy of analgesia demonstrated by visual analogue scale (VAS) less than 4 (effective) in the first 48 hours
研究概览
简要总结
The aim of this study is to assess the efficacy, onset and duration of analgesia of sphenopalatine ganglion bock (SPGB) using lidocaine 4% with adrenaline as a treatment of postoperative Post dural puncture headache (PDPH) of orthopedic patients after lower limbs surgeries.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Admitted to the orthopedic department
- •Complaining of criteria of severe post-dural puncture headache within 7 days following subarachnoid block used for lower limbs surgeries.
- •American Society of Anesthesiologists (ASA) physical status I and II.
排除标准
- •Patient refusal or uncooperative.
- •Patients with uncontrollable hypertension.
- •Patient with known coagulopathy.
- •Patient with nasal septal deviation, polyp, history of nasal bleeding.
- •Patient with allergy to local anesthetics
- •American Society of Anesthesiologists physical status>2.
研究组 & 干预措施
Standard medical Treatment (paracetamol)
Patients will receive paracetamol 1 gm every 6 hours daily intravenously for a day.
干预措施: Medical Treatment (Drug)
Sphenopalatine block
Patients will receive sphenopalatine block
干预措施: Sphenopalatine Ganglion Block (Procedure)
结局指标
主要结局
Efficacy of analgesia demonstrated by visual analogue scale (VAS) less than 4 (effective) in the first 48 hours
时间窗: 48 hours
Efficacy of analgesia demonstrated by visual analogue scale (VAS) less than 4 (effective) in the first 48 hours. VAS ranges from 0 to 10; 10 with worse outcome
次要结局
- Duration of analgesia(48 hours)
- Adverse events(48 hours)
- Onset of analgesia(48 hours)
研究者
Hussen Gamal Almawardy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Tanta University