Sphenopalatine Ganglion Block to Treat Shoulder Pain During and/or After Cesarean
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 117
- 试验地点
- 1
- 主要终点
- Reduction of shoulder pain measured using Verbal Analog pain Scale (VAS)
研究概览
简要总结
The purpose of this open label pilot study is to evaluate the utility of sphenopalatine ganglion (SPG) block to manage ipsilateral shoulder pain (ISP) during and/or after cesarean.
详细描述
Shoulder pain thought to be caused by blood and amniotic fluid irritation of the diaphragm and nerves that supply the shoulder, can occur during and/or after a cesarean. Investigators will consent 100 patients, and will enroll 10 patients who develop ISP and have a score of is >5/10 on the Verbal Analog pain Scale (VAS). Patients will be their own controls. Transnasal SPG block will be performed after childbirth, and and beginning at 20 minutes post treatment, the patient will be asked to rate their shoulder pain using the VAS a number of times.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Presence of post-operative ISP, VAS >5/10
- •American Society of Anesthesiologists Class 1 -
- •No allergy to lidocaine
排除标准
- •American Society of Anesthesiologists Class 4 or
- •Allergy to lidocaine
- •Nasal pathology (e.g., deviated septum)
- •Patients who receive sedatives during cesarean
- •Bleeding diathesis
- •Any patient who the PI feels will be unable to comply with all protocol related procedures
- •Shoulder pain prior to cesarean
结局指标
主要结局
Reduction of shoulder pain measured using Verbal Analog pain Scale (VAS)
时间窗: 90 Minutes
次要结局
未报告次要终点