Minimally invasive treatment for postdural puncture headache using a sphenopalatine ganglion block: a quick reference video for CRNAs
Creators: name: Schmidt, Andrea
Publisher: name: No Publisher Supplied
Year: 2022

description: Purpose: The purpose of this project was to provide Certified Registered Nurse Anesthetists (CRNAs) with education and easy access to a quick reference video resource that they can continually utilize in order to enhance their knowledge and skills to perform a sphenopalatine ganglion block (SPGB) as a first-line treatment for post dural puncture headache (PDPH). Methodology: The sample population for this study included current practicing CRNAs who attended a Statewide Professional Organization for Nurse Anesthesia Virtual Fall Symposium on October 13th, 2021. Those who participated in the symposium viewed an educational PowerPoint presentation on postdural puncture headaches and sphenopalatine ganglion blocks and a quick reference video demonstration on proper, step-by-step administration of the block, participants then completed an immediate post-intervention survey. Approximately 3 weeks later, the participants received a follow-up survey via email from the State Association. The immediate post-intervention survey contained questions regarding demographics, familiarity with the SPGB, likelihood of performing the block in their own practice, and helpfulness of the presentation. The follow-up survey assessed whether the participants used the block in practice since the symposium and if they were successful or not, and if the block was not used, what barriers they may have faced. Participants were instructed on how to access the video on YouTube for their own reference. Results: Results from the project concluded that the educational PowerPoint presentation and showing of quick reference video adequately prepared CRNAs to administer the SPGB and that they will continue to utilize the video and administer the block in their clinical practice. 50% agree and 40% strongly agree that participating in this study adequately prepared them for sphenopalatine ganglion block administration, while 40% agree and 50% strongly agree that they will continue to utilize the video on the Total Recall: Educational Videos for SRNAs on YouTube and administer SPGBs for PDPH in their clinical practice. The Chi square test resulted in a statistically significant p-value of 0.0029, concluding that there is a high likelihood that the CRNAs that participated in this study would represent the results of the total population. Implications for Practice: Upon completion of the workshop, CRNAs felt that they were adequately prepared to administer a SPGB in practice. The results showed that the CRNAs also will continue to utilize the quick reference video. A limitation to the study was the lack of results that showed that CRNAs utilized the block between initial viewing of the presentation and video and the time the follow up survey was to be completed. Due to the open-ended nature of the survey questions, it was determined that the block was not performed simply because the participants did not have the opportunity to treat a patient with PDPH in that 3-week time period. With the video being easily accessible on the YouTube platform, CRNAs have the ability to reference it at any time. With CRNAs educated and prepared to administer the SPGB for PDPH, more patients and healthcare systems will be able to benefit.