It hurts to do a blockade in the nose? And how does this happen? It hurts to do a blockade in the nose? And how does this happen?

It hurts to do a blockade in the nose? And how does this happen? It hurts to do a blockade in the nose? And how does this happen?

  1. Intranasal novocaine blockade is a nonspecific method of treatment of many diseases due to the fact that the mucosa of the nasal cavity is a powerful reflexogenic zone where the endings of the trigeminal, olfactory and autonomic nerves are located. In addition, in the immediate vicinity of the posterior part of the nasal cavity, the pterygopalon is the most important collector of intero- and exteroceptive impulses. This species of N. b. used for acute inflammatory diseases of the paranasal sinuses, nasal cavity, pharynx and larynx (pharyngitis, pharyngitis, laryngitis), phlegmon of the oral cavity and root of the tongue, postoperative and traumatic edema of the face, as well as vasomotor rhinitis, Meniere's disease, trigeminal neuralgia and other
    Intranasal N. b. can be carried out both in hospital and outpatient settings; in the latter case, the patient should be under medical supervision for 30 min 1 h after the blockade because of the possible development of intoxication phenomena. N. b. under visual control with anterior rhinoscopy. Before the administration of novocaine solution, the nasal mucosa is lubricated with 1% solution of dicaine or 12% solution of pyromecaine. The injection site is the side wall of the nasal cavity, anterior to the anterior end of the median sink, or the anterior or posterior portion of the inferior nasal concha. A solution of novocaine is administered under the mucous membrane or in the thickness of it. Intravenous administration has advantages, since the drug comes into direct contact with nerve endings located in the mucous membrane.
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