College
Rowan-Virtua School of Osteopathic Medicine
Keywords
Sphenopalatine Ganglion Block, Septoplasty, Postoperative Pain, Intraoperative Blood Loss, Meta-Analysis, Nasal Surgery
Date of Presentation
5-2-2024 12:00 AM
Poster Abstract
Objective: This Meta-Analysis aims to explore the impact of sphenopalatine ganglion block on intraoperative blood loss, duration of surgery, and postoperative pain.
Background: Sphenopalatine ganglion block (SPGB) is a form of regional anesthesia that could be coupled with general anesthesia in Septoplasty. Septoplasty is one of the three most common procedures Otolaryngologists perform, which is commonly performed endoscopically. There is lack of research on benefits of Sphenopalatine ganglion block on septoplasty. One of the most common complications of septoplasty is excessive bleeding which may impact endoscopic visualization. Additionally, postoperative pain management is vital to decreasing hospital stay and reducing systemic analgesic use. However, there have been conflicting studies on whether SPGB has an impact on postoperative pain.
Methods: Five databases (Pubmed, Embase, Web of Science, Cochrane Library, and Scopus) were used for the Systematic Search to perform a meta-analysis following the 2020 PRISMA guidelines. A total of 88 studies were extracted for review, 42 were duplicates, 46 papers were reviewed by two authors to be considered for analysis and by a third when a tie breaker was needed. Four randomized controlled trials were used for the final meta-analysis.
Results: After SPGB there was a significant decrease in Intraoperative blood loss (IOBL) (Cohen’s D= -6.80), a slight increase in Surgical duration time (Cohen’s d=0.66), a significant decrease in pain measured by visual analogue scale (VAS) measured at post-anesthesia care unit (PACU) and 24 hours (Cohen’s D=-3.07 and D=-4.1 respectively).
Conclusion: SBPG has shown a significant reduction in intraoperative blood loss in addition to a decrease in postoperative pain ranging up to 24 hours when compared with saline controls. However, there was a slight increase in the duration of surgery.
Disciplines
Anesthesia and Analgesia | Anesthesiology | Medicine and Health Sciences | Otolaryngology | Plastic Surgery | Surgery | Surgical Procedures, Operative
DOI
10.31986/issn.2689-0690_rdw.stratford_research_day.215_2024
Included in
Anesthesia and Analgesia Commons, Anesthesiology Commons, Otolaryngology Commons, Plastic Surgery Commons, Surgery Commons, Surgical Procedures, Operative Commons
Impact of Sphenopalatine Ganglion Block on Septoplasty: A Meta-Analysis
Objective: This Meta-Analysis aims to explore the impact of sphenopalatine ganglion block on intraoperative blood loss, duration of surgery, and postoperative pain.
Background: Sphenopalatine ganglion block (SPGB) is a form of regional anesthesia that could be coupled with general anesthesia in Septoplasty. Septoplasty is one of the three most common procedures Otolaryngologists perform, which is commonly performed endoscopically. There is lack of research on benefits of Sphenopalatine ganglion block on septoplasty. One of the most common complications of septoplasty is excessive bleeding which may impact endoscopic visualization. Additionally, postoperative pain management is vital to decreasing hospital stay and reducing systemic analgesic use. However, there have been conflicting studies on whether SPGB has an impact on postoperative pain.
Methods: Five databases (Pubmed, Embase, Web of Science, Cochrane Library, and Scopus) were used for the Systematic Search to perform a meta-analysis following the 2020 PRISMA guidelines. A total of 88 studies were extracted for review, 42 were duplicates, 46 papers were reviewed by two authors to be considered for analysis and by a third when a tie breaker was needed. Four randomized controlled trials were used for the final meta-analysis.
Results: After SPGB there was a significant decrease in Intraoperative blood loss (IOBL) (Cohen’s D= -6.80), a slight increase in Surgical duration time (Cohen’s d=0.66), a significant decrease in pain measured by visual analogue scale (VAS) measured at post-anesthesia care unit (PACU) and 24 hours (Cohen’s D=-3.07 and D=-4.1 respectively).
Conclusion: SBPG has shown a significant reduction in intraoperative blood loss in addition to a decrease in postoperative pain ranging up to 24 hours when compared with saline controls. However, there was a slight increase in the duration of surgery.