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The purpose of this study is to investigate the incidence of intravascular injection during trigeminal nerve blocks.
The patients who already scheduled for trigeminal nerve blocks will be randomized in a 1:1 ratio to tuohy needle group or quincke needle group after being informed about the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tuohy needle group | The participants who undergo the trigeminal nerve block using 22 guage Tuohy needle. |
| |
| Quincke needle group | The participants who undergo the trigeminal nerve block using 22 guage Quincke needle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| trigeminal nerve block | Procedure | Trigeminal nerve or branch block using 22 gauge Quincke or Tuohy needle under fluoroscopic guidance. |
|
| Measure | Description | Time Frame |
|---|---|---|
| IV uptake prevalence (%) | The incidence of intravascular injection during the procedure by digital subtraction angiography(DSA). | During the procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in incidence of intravascular injection | Difference in incidence of intravascular injection according to needle type by DSA. | During the procedure |
| Total incidence of blood aspiration |
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Inclusion Criteria:
Exclusion Criteria:
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The patients who scheduled to undergo trigeminal nerve block because of:
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jee Youn Moon, MD, PhD | Contact | 82220722952 | jymoon0901@gmail.com | |
| Yongjae Yoo, MD, PhD | Contact | 82220722952 | rkdarkef@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Recruiting | Seoul | South Korea |
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| ID | Term |
|---|---|
| D014277 | Trigeminal Neuralgia |
| D005157 | Facial Pain |
| D051474 | Neuralgia, Postherpetic |
| D003027 | Cluster Headache |
| ID | Term |
|---|---|
| D020433 | Trigeminal Nerve Diseases |
| D005156 | Facial Neuralgia |
| D005155 | Facial Nerve Diseases |
| D009059 | Mouth Diseases |
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Total incidence of blood aspiration by regurgitation.
| During the procedure |
| Total incidence of intravascular injection | Total incidence of intravascular injection under non-DSA technique. | During the procedure |
| The depth of inserted needle when the practitioner check the intravascular uptake under DSA technique. | The depth of inserted needle when the practitioner check the intravascular uptake under SDA technique. | During the procedure |
| The number of needle adjustment. | The number of needle adjustment due to the intravascular uptake. | During the procedure |
| Total volume of local anesthetics for skin anesthesia. | Total volume of local anesthetics for skin anesthesia. | During the procedure |
| Time for the procedure. | Time for the procedure. | During the procedure |
| Total amount of radiation exposure for the procedure. | Total amount of radiation exposure for the procedure. | During the procedure |
| Laterality | The difference in incidence by the lateriality. | During the procedure |
| Final pattern of the fluoroscopic image | The quality of the image(3: excellent, 2: acceptable, 1: not relevant) | During the procedure |
| Post-procedure pain | NRS pain score after the procedure in recovery room | Within 1 hour after the procedure. |
| The difficulty of the procedure | The difficulty grade by the practitioner(5:very easy, 4: relatively easy, 3:so so, 4:somewhat difficult, 1:very difficult) | Within 1 hour after the procedure. |
| The difference in incidence of blood aspiration | Difference in incidence of intravascular injection according to needle type by regurgitation. | During the procedure. |
| The difference in incidence of intravascular injection. | Difference in incidence of intravascular injection according to needle type by non-DSA technique. | During the procedure |
| D009057 |
| Stomatognathic Diseases |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009437 | Neuralgia |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D051303 | Trigeminal Autonomic Cephalalgias |
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |