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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Novant Health Forsyth Medical Center
Winston-Salem, North Carolina, United States
verbal pain score
a reduction in headache verbal pain score by 3
Time frame: 1 hour
epidural blood patch
evaluating the decrease in the necessity of an epidural blood patch to treat the postdural puncture headache
Time frame: 7 days
patient satisfaction
patient satisfaction with headache pain relief at 1 hour post treatment
Time frame: 1 hour
pain score
verbal pain score 30 minutes post study treatment
Time frame: 30 minutes
pain score
verbal pain score 7 days post study treatment
Time frame: 7 days
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