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A Comparative study between distal and proximal ultrasound guided bilateral occipital nerve block for post dural puncture headache

Not Applicable
Conditions
Nervous System Diseases
To compare the pain relieving effect of ultrasound guided bilateral greater occipital nerve block at superior nuchal line versus at C2 level for post dural puncture headache.
Registration Number
PACTR201804003292841
Lead Sponsor
sherif kamal arafa
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
40
Inclusion Criteria

1.Patients with knee PDPH.
2.ASA I, II patients.
3.Both sexes included aged 15 to 50 years.
4.NRS more than 4
5.Pain is not relieved by pharmacological treatment.

Exclusion Criteria

1.Patient refusal
2.Anatomical anomalies
3.Previous skull surgery or trauma
4.Other types of headaches.
5.Allergy to amid local anesthetics or corticosteroids
6.Local infection or sepsis.
7.Coagulopathy or anticoagulant therapy
8.Diabetes mellitus.
9.Hypertension

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome in this study is improving in pain of post dural puncture headache (10 minutes, 6 hours, 12 hours, 24 hours, 36 hours and 24 hours), It will be assessed by numerical rating scale (NRS).
Secondary Outcome Measures
NameTimeMethod
Occurrence of side effects or complications.
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