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Letter to the Editor| Volume 54, ISSUE 5, P701, May 2018

Transnasal Lidocaine for Treating Headache in the Emergency Department

      We read with great interest the article titled “Review of Intranasally Administered Medications for Use in the Emergency Department” by Bailey et al. (
      • Bailey A.M.
      • Baum R.A.
      • Horn K.
      • et al.
      Review of intranasally administered medications for use in the emergency department.
      ). The authors have covered in detail all the medications, indications, and doses of intranasally used medications in great depth. We would like to add one more drug that can be given transnasally for headache: lidocaine.
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      References

        • Bailey A.M.
        • Baum R.A.
        • Horn K.
        • et al.
        Review of intranasally administered medications for use in the emergency department.
        J Emerg Med. 2017; 53: 38-48
        • Khonsary S.A.
        • Ma Q.
        • Villablanca P.
        • Emerson J.
        • Malkasian D.
        Clinical functional anatomy of the pterygopalatine ganglion, cephalgia and related dysautonomias: a review.
        Surg Neurol Int. 2013; 4: S422-S428
        • Candido K.D.
        • Massey S.T.
        • Sauer R.
        • Darabad R.R.
        • Knezevic N.N.
        A novel revision to the classical transnasal topical sphenopalatine ganglion block for the treatment of headache and facial pain.
        Pain Physician. 2013; 16: E769-E778
        • Nair A.S.
        • Rayani B.K.
        Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy.
        Korean J Pain. 2017; 30: 93-97
        • Kent S.
        • Mehaffey G.
        Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in the ED.
        Am J Emerg Med. 2015; 33: 1714.e1-1714.e2

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