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?
- Intranasal procaine blockade is a nonspecific method of treating many diseases due to the fact that the nasal mucosa is a powerful reflexogenic zone, where the endings of the trigeminal, olfactory and vegetative nerves are located. In addition, in the immediate vicinity of the posterior part of the nasal cavity, there is a prilothoid node, the most important collector of interoperational and exteroceptive impulses. This type of N. b. used in acute inflammatory diseases of the paranasal sinuses, nasal cavity, pharynx and larynx (sore throat, pharyngitis, laryngitis), during phlegmon of the mouth 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 performed both in inpatient and outpatient settings; in the latter case, the patient must be under the supervision of a physician during 30 min 1 h after the blockade due to possible development of intoxication phenomena. N. b. carried out under visual control with anterior rhinoscopy. Before the administration of the solution of novocaine, the nasal mucosa is smeared with a 1% solution of dicainum or an 12% solution of pyromeckain. Injection site is the side wall of the nasal cavity, anterior to the anterior end of the middle shell, or the anterior or posterior part of the inferior nasal concha. The solution of novocaine is injected under the mucous membrane or in the thickness of it. Intramuscular administration has advantages, since at the same time the drug comes into direct contact with the nerve endings that are in the mucosa.