Health Condition 1: O745- Spinal and epidural anesthesia-induced headache during labor and delivery
Conditions
Interventions
Intervention1: Sphenopalatine Ganglion Block: 1. The patient will be placed supine, with a folded sheet below both the shoulders and head in sniffing position.
2. Intervention
â?¢ Two long cotton-ti
Sponsors
Sir Ganga Ram Hospital
Eligibility
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame |
|---|---|
| A. To observe at different time intervals 1) Pain relief in supine and sitting position 2) Numerical rating score (NRS) more than 3 in sitting position B. Time to first analgesic dose after the SPG block C. Relief in associated symptoms of PDPH (nausea, vomiting, visual changes, neck pain and stiffness) D. Presence of adverse effects (discomfort, change in taste, numbness in throat, epistaxis) associated with the block E. Need for epidural blood patch F. Parturient satisfaction Timepoint: 5min, 30 min, 2h, 4h, 8h,12h, 24h and 48 h | — |
Countries
India
Contacts
Public ContactDr Anjeleena Kumar Gupta
Sir Ganga Ram Hospital
Outcome results
None listed