Transnasal sphenopalatine ganglion block

Transnasal sphenopalatine ganglion block

Anesthesia type
Airway
Lines and access
Monitors
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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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

Preoperative management

Patient evaluation

System	Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Procedure variants

	Variant 1	Variant 2
Unique considerations
Indications
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications