DanielleLevinMD: Added citations. Added Procedure Description under "Overview." Added Preoperative management. Added description of how to set up/do the block.

2022-10-07T02:28:41Z

Added citations. Added Procedure Description under "Overview." Added Preoperative management. Added description of how to set up/do the block.

@@ Line 16: / Line 16: @@
 * acute migraines
-* chronic migraines
+* chronic migraines<ref>{{Cite journal|last=Levin|first=Danielle|last2=Cohen|first2=Shaul|last3=Mellender|first3=Scott|last4=Kiss|first4=Geza|date=2018-07-15|title=Sphenopalatine Ganglion Block Successfully Treats Migraines in a Type 1 Arnold Chiari Malformation Pregnant Patient: A Case Report|url=https://pubmed.ncbi.nlm.nih.gov/29634560|journal=A&A Practice|volume=11|issue=2|pages=32–34|doi=10.1213/XAA.0000000000000722|issn=2575-3126|pmid=29634560}}</ref>
 * cluster headaches
 * trigeminal neuralgia
 * facial pain syndromes
 * neck pain
-* shoulder pain
+* shoulder pain<ref>{{Cite journal|last=Levin|first=Danielle|last2=Acquadro|first2=Martin|last3=Cerasuolo|first3=Joseph|last4=Gerges|first4=Frederic|date=2022-01-06|title=Sphenopalatine ganglion block for ipsilateral shoulder pain following open pancreaticoduodenectomy|url=https://pubmed.ncbi.nlm.nih.gov/34992061|journal=BMJ case reports|volume=15|issue=1|pages=e243746|doi=10.1136/bcr-2021-243746|issn=1757-790X|pmc=8739062|pmid=34992061}}</ref>
 * chronic abdominal wall pain
 * lower extremity complex regional pain syndrome
 * post traumatic stress disorder
-===Surgical procedure<!-- Briefly describe the major steps of this surgical procedure. -->===
+===Procedure<!-- Briefly describe the major steps of this surgical procedure. -->===
 ==Preoperative management==
@@ Line 37: / Line 40: @@
 |-
 |Airway
+|Evaluate nose to ensure there are no gross abnormalities
 |}
-===Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. -->===
+===Procedure room setup<ref>{{Cite journal|last=Levin|first=Danielle|last2=Cohen|first2=Shaul|date=2020-11|title=Images in anesthesiology: three safe, simple, and inexpensive methods to administer the sphenopalatine ganglion block|url=https://pubmed.ncbi.nlm.nih.gov/32784228|journal=Regional Anesthesia and Pain Medicine|volume=45|issue=11|pages=880–882|doi=10.1136/rapm-2020-101765|issn=1532-8651|pmid=32784228}}</ref><!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. -->===
-===Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. -->===
+* '''<u>Option 1:</u> "Lidocaine Drops"'''
-===Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. -->===
+* '''<u>Option 2:</u> "Self-assembly of Cotton-tipped Applicators"'''
 ==Intraoperative management==

DanielleLevinMD: Started this new page. Wrote the following sections: Overview; Indications

2022-09-22T16:12:43Z

Started this new page. Wrote the following sections: Overview; Indications

New page

{{Infobox surgical procedure
| anesthesia_type =
| airway =
| lines_access =
| monitors =
| considerations_preoperative =
| considerations_intraoperative =
| considerations_postoperative =
}}

Transnasal sphenopalatine ganglion block is a procedure in which local anesthetic is delivered to a group of nerve cells, called the sphenopalatine ganglion, located behind the nose. The technique can be performed through the use of several commercially available devices, self assembly of cotton-tip applicators, or simply local anesthetic drops. The fascinating aspect of this block is that not only does it treat numerous pain conditions, but it may also provide long-term effect beyond the typical expected duration of local anesthetic.

==Overview==

===Indications===

* acute migraines
* chronic migraines
* cluster headaches
* trigeminal neuralgia
* facial pain syndromes
* neck pain
* shoulder pain
* chronic abdominal wall pain
* lower extremity complex regional pain syndrome
* post traumatic stress disorder

===Surgical procedure===

==Preoperative management==

===Patient evaluation===
{| class="wikitable"
|+
!System
!Considerations
|-
|Airway
|
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

===Labs and studies===

===Operating room setup===

===Patient preparation and premedication===

===Regional and neuraxial techniques===

==Intraoperative management==

===Monitoring and access===

===Induction and airway management===

===Positioning===

===Maintenance and surgical considerations===

===Emergence===

==Postoperative management==

===Disposition===

===Pain management===

===Potential complications===

==Procedure variants==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Indications
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

==References==

[[Category:Surgical procedures]]

Transnasal sphenopalatine ganglion block - Revision history

DanielleLevinMD: Added citations. Added Procedure Description under "Overview." Added Preoperative management. Added description of how to set up/do the block.

DanielleLevinMD: Started this new page. Wrote the following sections: Overview; Indications