Migraine Clinical Trial
Official title:
A Randomized, Sham-controlled Trial of Greater Occipital Nerve Block as Second Line Therapy for ED Patients With Acute Migraine
This is a randomized, sham-controlled study of greater occipital nerve block (GONB) using bupivacaine 0.5% for emergency department patients with acute migraine. Patients are only enrolled if they fail first line therapy with metoclopramide.
The investigators are testing the following hypothesis:
In a population of patients who present to an ED with acute migraine and have been treated
with parenteral metoclopramide unsuccessfully, bilateral greater occipital nerve blocks with
bupivicaine will provide greater rates of short-term and sustained headache freedom than
bupivacaine injected intradermally.
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