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Pterygopalatine fossa (PPF) block as opioid sparing treatment for acute headache in spontaneous subarachnoid hemorrhage

Pterygopalatine fossa (PPF) block as opioid sparing treatment for acute headache in spontaneous subarachnoid hemorrhage

Nearly all patients with subarachnoid hemorrhage experience headaches of varying intensity, and in about 90%, headaches are severe. The degree of headache control is poor with nearly 90% of patients experiencing severe pain despite the use of combined analgesics.
This is a phase 2 multicenter, randomized, double blind, saline- and active- controlled, sequential parallel comparison design study. Study participants will be randomized to receive a bilateral PPF active nerve block or sham block (saline injection) for two consecutive days and an optional open label PPF block between the third and fourth day.

Principal investigators:

Katharina Busl, Carolina B. Maciel, Cameron Smith, Brian L. Hoh
University of Florida

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