High-thoracic ultrasound-guided erector spinae plane block for acute herpes zoster pain management in emergency department

Herpes zoster is a painful, eruptive, viral condition occurring with reactivation in immunosuppressed individuals. The selection of an effective analgesic method in the acute phase of herpes zoster can decrease the incidence of postherpetic neuralgia by reducing neural sensitization. The erector spi...

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Bibliographic Details
Published in:The American journal of emergency medicine 2019-02, Vol.37 (2), p.375.e1-375.e3
Main Authors: Tekin, Erdal, Ahiskalioglu, Ali, Aydin, Muhammed Enes, Sengun, Emre, Bayramoglu, Atif, Alici, Haci Ahmet
Format: Article
Language:English
Subjects:
Activation
Aged
Analgesia
Analgesics
Dermatology
Emergency management
Emergency medical care
Emergency medical services
Emergency Service, Hospital
Herpes zoster
Herpes Zoster - complications
Humans
Male
Narcotics
Nerve Block - methods
Neuralgia
Neuralgia, Postherpetic - therapy
Pain management
Pain Management - methods
Pain perception
Paraspinal Muscles - innervation
Thorax
Ultrasonic imaging
Ultrasonography
Ultrasound
Vertebrae
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Summary:Herpes zoster is a painful, eruptive, viral condition occurring with reactivation in immunosuppressed individuals. The selection of an effective analgesic method in the acute phase of herpes zoster can decrease the incidence of postherpetic neuralgia by reducing neural sensitization. The erector spinae plane block has been reported to provide diffuse and effective analgesia in the cervical, thoracic, and lumbar regions. We report an effective decrease in pain with the application of the high-thoracic erector spinae plane block in the emergency department in a patient with herpes zoster pain in the cervicothoracic and shoulder region.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2018.10.028