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Early versus late sphenopalatine ganglion block with ropivacaine in postdural puncture headache: an observational study
Santos, Nelson S; Nunes, Joana M; Font, Maria L; Carmona, Cristina; Castro, Maria M.
  • Santos, Nelson S; Hospital Professor Dr. Fernando Fonseca. Department of Anesthesiology and Pain Medicine. Amadora. PT
  • Nunes, Joana M; Hospital Professor Dr. Fernando Fonseca. Department of Anesthesiology and Pain Medicine. Amadora. PT
  • Font, Maria L; Hospital Professor Dr. Fernando Fonseca. Department of Anesthesiology and Pain Medicine. Amadora. PT
  • Carmona, Cristina; Hospital Professor Dr. Fernando Fonseca. Department of Anesthesiology and Pain Medicine. Amadora. PT
  • Castro, Maria M; Hospital Professor Dr. Fernando Fonseca. Department of Anesthesiology and Pain Medicine. Amadora. PT
Braz. J. Anesth. (Impr.) ; 73(1): 42-45, Jan.-Feb. 2023. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1420652
ABSTRACT
Abstract Background Postdural puncture headache (PDPH) is a common complication of neuraxial techniques which delays patients' discharge. Sphenopalatine ganglion block (SPGB) is a safe bedside technique with comparable efficacy to Epidural Blood Patch, the gold-standard treatment. There is no evidence on the ideal timing for SPGB performance. We aimed to evaluate the difference between early versus late SPGB concerning efficacy, symptom recurrence and hospital length of stay. Methods We present an observational study with 41 patients diagnosed with PDPH who were submitted to SPGB with ropivacaine 0,75%. The study sample (n = 41) was divided in two groups an early (less than 24 hours after diagnosis) and a late (more than 24 hours after diagnosis) SPGB group. Pain was evaluated 15 minutes after the block and follow up occurred daily until patients were discharged. Patients' demographic characteristics, neuraxial technique, timing of SPGB, qualitative pain relief and post-SPGB length of stay were registered and analyzed with SPSS statistics (v26) software. Results Early SPGB resulted in a significant reduction in length of stay (p = 0,009) and symptom recurrence (p = 0,036), showing equally effective pain relief, compared to late SPGB. Conclusions SPGB was equally effective in both groups. Data showed that early SPGB reduces length of hospital stay and symptom recurrence, which potentially allows early resumption of daily activities and a reduction in total health costs.
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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Cefalea Pospunción de la Duramadre / Bloqueo del Ganglio Esfenopalatino Tipo de estudio: Estudio observacional / Investigación cualitativa Límite: Humanos Idioma: Inglés Revista: Braz. J. Anesth. (Impr.) Año: 2023 Tipo del documento: Artículo País de afiliación: Portugal Institución/País de afiliación: Hospital Professor Dr. Fernando Fonseca/PT

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Cefalea Pospunción de la Duramadre / Bloqueo del Ganglio Esfenopalatino Tipo de estudio: Estudio observacional / Investigación cualitativa Límite: Humanos Idioma: Inglés Revista: Braz. J. Anesth. (Impr.) Año: 2023 Tipo del documento: Artículo País de afiliación: Portugal Institución/País de afiliación: Hospital Professor Dr. Fernando Fonseca/PT