Sphenopalatine Ganglion Block for Post-Dural Puncture Headache in Orthopedic Patients
Sphenopalatine Ganglion Block for Post-Dural Puncture Headache in Orthopedic Patients
The aim of this study is to assess the efficacy, onset and duration of analgesia of
 sphenopalatine ganglion bock (SPGB) using lidocaine 4% with adrenaline as a treatment of
 postoperative Post dural puncture headache (PDPH) of orthopedic patients after lower limbs
 surgeries.
Inclusion Criteria:

 -  Admitted to the orthopedic department

 -  Complaining of criteria of severe post-dural puncture headache within 7 days following
 subarachnoid block used for lower limbs surgeries.

 -  American Society of Anesthesiologists (ASA) physical status I and II.

 Exclusion Criteria:

 -  Patient refusal or uncooperative.

 -  Patients with uncontrollable hypertension.

 -  Patient with known coagulopathy.

 -  Patient with nasal septal deviation, polyp, history of nasal bleeding.

 -  Patient with allergy to local anesthetics

 -  American Society of Anesthesiologists physical status>2.