A Week in Review
Technique - place a mixture of bupivicane and lidocaine on a cotton swap a let sit on the ganglion
Let sit 5-10 minutes, 50% of patients acheieve greater than 50% reduction in Pain
Click link above for more details and links to the studies.
2nd Line medication for patient actively seizing
Dose is 20mg/kg IV. MAX rate 50mg/min
If given too quickly, can cause cardiac stunning and fatal hypotension
If you have fosphenytoin, use it!
Patient with arm weakness and tingling after falling forward and hitting her head.