Transnasal blockade of SPG approach involving the application of 2 cc (approximately the size of a pea) of 2% lidocaine jelly on a cotton swab directed posteriorly towards the SPG in the nasal passage bilaterally. Cotton swab will be inserted to the back of the nasal passage until it can no longer be inserted any further. The cotton swab should remain in place for 15 minutes on both sides simultaneously. The patient will be instructed on how to perform this procedure on themselves, and they will be given supplies for a 7-day supply of medication to be administered two times per day at approximately 12 hour intervals.

Transnasal blockade of SPG approach involving the application of 2 cc (approximately the size of a pea) of nasal saline jelly on a cotton swab directed posteriorly towards the SPG in the nasal passage bilaterally. Cotton swab will be inserted to the back of the nasal passage until it can no longer be inserted any further. The cotton swab should remain in place for 15 minutes. The patient will be instructed on how to perform this procedure on themselves, and they will be given supplies for a 7-day supply of medication to be administered up to two times per day at approximately 12 hour intervals.

Post-Dural Puncture Headache

Patients will be prescribed a regimen of 1 g acetaminophen q 8hrs alternating with 600 mg ibuprofen q 6 hours. In addition they will be instructed to continue oral fluid hydration and minimal activity for 24 hours.
At 2-hours following the SPG blockade an EBP will be offered to patients. Patient will also be informed that they can request an EBP at any time. The SPG blockade will be performed twice daily in the hospital and twice daily at home, by the patient. The patient will also be informed, if that at anytime, they would like an EBP, it can be provided.
While the study is being conducted, patients will not be offered a SPG block unless enrolled in the study.

Lidocaine HCl Gel 2%

placebo gel

University of Utah

RCT of SPG Blocks for Post-dural Headache

A Multicenter Double Blinded Randomized Controlled Trial of the Efficacy of the Sphenopalatine Ganglion Block for the Treatment of the Postdural Puncture Headache After Labor Epidural

Proportion of postpartum women with a postdural puncture headache (PDPH) requesting epidural blood patch (EBP)

Daily Questionnaire regarding functionality

University of Colorado, Denver

University of California, San Francisco

Duke University

Mayo Clinic

Harvard University

Laparoscopic Colon Resection

Perioperative Analgesia

Intravenous bolus of normal saline at induction 3 day postoperative infusion of normal saline administered by ambit pump

IV Saline bolus and infusion

Intraperitoneal bolus of normal saline down first port site. 3 day post operative intraperitoneal infusion of normal saline via an intraperitoneal line inserted by the surgeon. Infusion will be administered by ambit pump.

IP Saline bolus and infusion

Intravenous lignocaine bolus at induction. 3 day postoperative IV infusion of lignocaine administered by ambit pump

IV lignocaine bolus and infusion

Intraperitoneal bolus of lignocaine down first port site. 3 day post operative intraperitoneal infusion of lignocaine via an intraperitoneal line inserted by the surgeon. Infusion will be administered by ambit pump.

IP Lignocaine bolus and infusion

Manukau Surgical Centre, Middlemore Hospital

Intravenous and Intraperitoneal Lignocaine for Perioperative Analgesia in Laparoscopic Colon Resections

Pain scores using the visual analogue score (VAS)

The day that the patient is discharged will be recorded

Readmissions complications will be recorded up to day 30 post op using the Clavien-Dindo Classification

SRS questionnaires will be administered at day 1 till discharge then POD 14, 30 and 60

Andrew G Hill

Prof.

University of Auckland, New Zealand

Analgesic medications will be given via epidural, the standard of care.

Analgesic medications will be given via the paravertebral space.

Pain Control After Elective Hepatectomy

Patients receive bupivacaine and hydromorphone infusion and bolus doses during surgery and 3 days after surgery.

Bupivacaine and Hydromorphone

Patients receive ropivacaine and hydromorphone infusion and bolus doses during surgery and 3 days after surgery.

Ropivacaine and Hydromorphone

Kingston General Hospital

Epidural Versus Paravertebral Block Analgesia After Hepatectomy

Analgesic and Hemodynamic Effects of Continuous Epidural Analgesia Compared to Paravertebral Block in Liver Resection Patients

Cumulative opioid consumption during the postoperative period will be recorded.

The first time after surgery each participant asks for opioid medication for pain will be recorded.

At the specified time points, participants will rate their pain on a scale from 0 to 10.

At the specified time points, participants will rate their nausea.

Participants will rate their satisfaction with their analgesia.

The number of successful CEA and PVB procedures will be recorded.

The number of therapeutic failures of CEA and PVB procedures will be recorded.

Central venous pressure will be recorded.

pH, bicarbonate, partial pressure of carbon dioxide, and partial pressure of oxygen in the blood will be recorded.

Total volume of crystalloids, colloids, and blood products given perioperatively and during the 72 hours after surgery will be recorded.

Total volume of vasopressors given perioperatively and during the 72 hours after surgery will be recorded.

epidural abscess/zvracení

RCT of SPG Blocks for Post-dural Headache

Intravenous and Intraperitoneal Lignocaine for Perioperative Analgesia in Laparoscopic Colon Resections

Epidural Versus Paravertebral Block Analgesia After Hepatectomy

Nejúplnější databáze léčivých bylin podložená vědou