Sphenopalatine Ganglion block for Post-dural puncture headache: An Evidence-Based Educational Module
Date of this Version
12-1-2023
Document Type
DNP Project
Abstract
Background: Post-dural puncture headache (PDPH) commonly occurs as a complication following neuraxial anesthesia in obstetric patients. The occurrence of this complication is influenced by the type and size of the needle used during the anesthesia procedure. Treating PDPH promptly is crucial due to its potential for severe complications such as vertigo, cranial nerve dysfunction, double vision, back pain, persistent headaches, and the development of subdural hematoma. Risk factors for PDPH include being younger, female, pregnant, and having a history of previous PDPH. Obstetric patients are particularly susceptible to PDPH due to factors such as their gender, young age, and the frequent utilization of neuraxial anesthesia.
Methods: A Quality Improvement Project (QI) was conducted at a 589-bed acute care hospital in South Florida. A pre-test and post-test survey was sent to participants, and data was collected anonymously.
Results: Post-implementation data collection proved a need for more understanding regarding using SPGB as an alternative treatment option within anesthesia providers indifferent to years of experience. Most participants reported being open to trying SPGB as an alternative treatment option before more invasive options.
Discussion: An educational intervention has the potential to significantly improve healthcare providers' knowledge and attitudes regarding the use of Sphenopalatine Ganglion Block (SPGB) as a first-line treatment option for Post-Dural Puncture Headache (PDPH). By implementing targeted educational programs, healthcare professionals increase awareness about SPGB's benefits, efficacy, and appropriate application in managing PDPH. Such interventions can effectively improve providers' understanding of the procedure, its potential outcomes, and its place in the treatment algorithm for PDPH. As a result, healthcare providers are more likely to consider and recommend SPGB as an initial therapeutic approach, ultimately enhancing patient care and outcomes for individuals suffering from PDPH.
Keywords: Sphenopalatine ganglion block, PDPH, Obstetrics, Spinal, epidural blood patch, post- dural puncture headache, obstetrics, neurology.
Recommended Citation
Zuniga Mejia, Erick G.; Alfonso, Fernado Dr.; and Taylor, Sandra Dr., "Sphenopalatine Ganglion block for Post-dural puncture headache: An Evidence-Based Educational Module" (2023). Nicole Wertheim College of Nursing Student Projects. 235.
https://digitalcommons.fiu.edu/cnhs-studentprojects/235