Sphenopalantine Ganglion (SPG) Block Note:
The patient was counseled on the risks, benefits, and alternatives to the procedure, and provided [written/verbal] consent. We specifically discussed risk of a bitter taste from the anesthetic, nausea, trauma resulting in epistaxis, lightheadedness, and numbness in the posterior pharynx among others. A timeout procedure was performed prior to initiating the procedure.
The patient was placed in a supine position with the head tilted into a 'sniffing' position. The patient was placed on a cardiac monitor (because of administration of anesthetic in a highly vascular area). The nasal passage was anesthesized with 1 mL of 1% lidocaine per nostril aerosolized using an atomizer. A cotton-tip applicator was soaked in [1/2]% lidocaine and advanced along the superior border of the middle turbinate of each nostril until the tip contacts the mucosa overlying the sphenopalantine galglion (SPG).
The applicators were left in place [for 10 minutes/until the patient felt relief], and were then gently removed. The patient tolerated the procedure well without complications.
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