Previously we have discussed the use of propofol for migraine headache (part 1, part 2). In this post, we’ll look at another headache treatment that can be added to your armamentarium, the paraspinous cervical block. There are many standard cocktails for headache management in the ED, but unfortunately, many of these require an IV, fluids, […]
Propofol for Migraine Part 2
The use of propofol to treat migraine has been previously discussed here at SOCMOB. Today an interesting paper came to my attention thanks to Reuben Strayer over at EMupdates. Single dose propofol 1 mg/kg over 60 seconds effective for migraine in four cases. http://t.co/M1P9fMda4M — reuben strayer (@emupdates) November 6, 2013 This paper published by Mosier […]
Propofol for Migraine Headache
Case: A 24 yo male with chronic migraines, presents to your ED with status migrainosus for 72 hours. He has tried his home therapy of ibuprofen, tylenol and a triptan. After throwing in some iv fluids, prochlorperazine and dexamethasone, his headache remains a 10/10. He is followed by neurology, has had a recent head MRI, […]