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no eligible participant , technical difficulty, feasiblity
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The investigators are attempting to determine a less invasive method of treatment for postdural puncture headaches that can occur after regional anesthesia. The investigators will be evaluating the relief of headache with those subjects receiving treatment with a sphenopalatine ganglion block with bupivacaine versus placebo, evaluating the incidence of epidural blood patch, pain score of headache at 1 hour, then 24, 48, and 72 hours lower with post study treatment versus placebo, and potential side effects of those patients receiving study therapy as well as epidural blood patch.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| placebo | Experimental | sphenopalatine ganglion block performed with normal saline as the placebo |
|
| bupivacaine | Active Comparator | sphenopalatine ganglion block performed with bupivacaine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bupivacaine | Drug |
| ||
| placebo |
| Measure | Description | Time Frame |
|---|---|---|
| verbal pain score | a reduction in headache verbal pain score by 3 | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| epidural blood patch | evaluating the decrease in the necessity of an epidural blood patch to treat the postdural puncture headache | 7 days |
| patient satisfaction | patient satisfaction with headache pain relief at 1 hour post treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Peter H Pan, MD, MSEE | Wake Forest School of Medicine-Anesthesiology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novant Health Forsyth Medical Center | Winston-Salem | North Carolina | 27103 | United States |
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| ID | Term |
|---|---|
| D051299 | Post-Dural Puncture Headache |
| ID | Term |
|---|---|
| D051271 | Headache Disorders, Secondary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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|
| 1 hour |
| pain score | verbal pain score 30 minutes post study treatment | 30 minutes |
| pain score | verbal pain score 7 days post study treatment | 7 days |
| D009422 | Nervous System Diseases |
| D000588 |
| Amines |