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IRCT20200501047254N4 IRCT 2026-02-04 Gonabad University of Medical Sciences The effect of sphenopalatine anesthesia in controlling headache after spinal anesthesia. Evaluation of the Effect of Sphenopalatine Ganglion Block in the Treatment of Post-Dural Puncture Headache (PDPH) in Patients Undergoing Spinal Anesthesia at Allameh Bohlool Gonabadi Hospital 2025-09-23 anticipated 20 Complete https://irct.ir/trial/84820 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: For simple randomization of participants into control and intervention groups, individuals will be randomly assigned to one of the two groups using sealed envelopes, Blinding description: The sampling was conducted in a triple-blind manner such that the swab used for the sphenopalatine block was prepared by a project collaborator, and neither the researcher responsible for sampling nor the patient was aware of the type of medication the swab was impregnated with. Finally, the participants' data in groups A and B were entered into the SPSS software, and the data analyst was blinded to the nature of the groups. 3 post-dural puncture headache. Intervention 1: Intervention group: Performing a sphenopalatine nerve block under the supervision of an anesthesiologist, transnasally, using a cotton swab soaked in 2% lidocaine. Intervention 2: Control group: Performing a sphenopalatine nerve block under the supervision of an anesthesiologist, transnasally, using a cotton swab soaked in distilled water. Yes - There is a plan to make this available What will be shared: All data can be shared after de-identifying individuals. When: one year after publication To whom: Researchers and academic institutions Conditions: Conducting secondary research and analysis on data Where to obtain: Fatemeh Pouladkhay How to obtain: Contact via email will be responded to promptly. Comments:
public Fatemeh Pouladkhay
Department of Operating Room, School of Paramedical Sciences, Gonabad University of Medical Sciences, Gonabad, Khorasan Razavi
Gonabad Iran (Islamic Republic of) 9691793718 +98 51 5722 3028 pouladkhay.fatemeh@gmail.com Gonabad University of Medical Sciences scientific Fatemeh Pouladkhay
Department of Operating Room, School of Paramedical Sciences, Gonabad University of Medical Sciences, Gonabad, Khorasan Razavi
Gonabad Iran (Islamic Republic of) 9691793718 +98 51 5722 3028 pouladkhay.fatemeh@gmail.com Gonabad University of Medical Sciences Headache after spinal anesthesia Headache severity of at least 4 out of 10 on a visual analog pain scale(VAS) Patients with stable hemodynamic status at the time of treatment Informed consent No history of allergy or hypersensitivity to lidocaine No active infection or inflammation in the facial or nasal area (site of sphenopalatine block) No peripheral or central nervous system diseases that could interfere with outcome assessment No severe cardiovascular diseases or chronic renal and hepatic failure No history of surgery or trauma in the head and face region that would limit the safe performance of the block No prior receipt of alternative treatments for post-dural puncture headache (PDPH), such as epidural blood patch, and no need for supplemental treatments during the study Absence of coagulation disorders No mental or psychological disabilities that impair the ability to cooperate or respond to questionnaires 18 years 65 years Both Unwillingness to continue participating in the research G97.1 Other reaction to spinal and lumbar puncture Treatment - Drugs Placebo Intervention group: Performing a sphenopalatine nerve block under the supervision of an anesthesiologist, transnasally, using a cotton swab soaked in 2% lidocaine. Control group: Performing a sphenopalatine nerve block under the supervision of an anesthesiologist, transnasally, using a cotton swab soaked in distilled water. VAS Pain score. Timepoint: Headache measurement before intervention and at 15 and 30 minutes and 1, 2, 4, 6, 8, 12, 24 hours after intervention. Method of measurement: Visual Analogue Scale. Tachycardia. Timepoint: heart rate measurement before intervention and at 15 and 30 minutes and 1, 2, 4, 6, 8, 12, 24 hours after intervention. Method of measurement: checklist. Gonabad University of Medical Sciences Approved 2025-12-01 Research Ethics Committees of Gonabad university of medical scienses Side of Asian Road - Gonabad University of Medical Sciences Campus Gonabad Razavi Khorasan Iran (Islamic Republic of)