The purpose of this optional sub-study to GSPB-2018 (NCT03652714) is to evaluate the changes in cerebral blood flow (CBF) under different conditions to understand if postdural puncture headache is caused by changes in the cerebral blood flow and if treatment normalises that change.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
QUADRUPLE
Block performed with bilaterally inserted q-tips with 1:1 mixture of lidocaine 40mg/ml and ropivacaine 5mg/mL as per GSPB-2018.
Block performed with bilaterally inserted q-tips with isotone NaCl as per GSPB-2018.
Bispebjerg and Frederiksberg Hospital, University of Copenhagen
Copenhagen, Denmark
Rigshospitalet, University of Copenhagen
Copenhagen, Denmark
Change in Cerebral Blood Flow velcity (CBF) in supine versus upright position compared to effect of treatment.
Change in mean, minimum and maximum Cerebral Blood Flow velcity in cm/sec (CBF) in supine versus upright position compared to effect of treatment.
Time frame: <1h before and 1 hour after each intervention
Comparison of paint rating (0-100 on a visual analogue scale, VAS) and Cerebral Blood Flow velocity (CBF) before and after each intervention.
Pain intensity measured with a pain rating (0-100mm on a visual analogue scale, VAS) in supine position and as worst experienced pain after the patient has been upright for 30 seconds or the worst experienced pain while attempting to stand if the rating has to be interrupted. Cerebral Blood Flow velocity (CBF) measured as mean blood flow in cm/sec.
Time frame: <1h before and 1 hour after each intervention
Change in Cerebral Blood Flow velocity (CBF) in supine position before and after interventions.
Changes in mean, minimum and maximum Cerebral Blood Flow velocity in cm/sec (CBF) before and after treatment.
Time frame: <1h before and 1 hour after each intervention
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