Continuous Subpleural-Paravertebral Block in Acute Thoracic Herpes Zoster

Single Paravertebral Injection for Acute Thoracic Herpes Zoster: A Randomized Controlled Trial

“…Two meta‐analyses suggested analgesic equivalence between paravertebral blockade and epidural analgesia, but with significantly fewer adverse effects in favor for PVB . Few reports described the use of paravertebral blockade in acute HZ pain . However, none of the available studies were either randomized, double‐blinded, or evaluated the effect of the block on the duration of eruptive stage.…”

Interpleural block – part 2

“…Tumour invasion of the brachial plexus [68] Unilateral breast surgery [1,12,15,16] Open cholecystectomy [1][2][3][4][5][6][7][8][9][10][11] Pain of acute herpes zoster and post herpetic neuralgia [64][65][66][67] Needle localisation and breast biopsysole anaesthetic [15] Laparoscopic cholecystectomy [25,26] Chronic regional pain syndromes of the upper limb [36,61,63] Thoracotomy [42,43,45,[48][49][50][51] Renal surgery [1,[12][13][14] Upper limb ischaemia [62] Chest drain [108,109] Abdominal surgery (bilateral blocks) [55,56] Cardiac surgery [53,54] Percutaneous hepatic and biliary drainage procedures [27][28][29] Thoracic sympathectomy…”

“…These also suggest its effects on the sympathetic system in the amelioration of chronic pain. It has been used to treat pain from CRPS [36,61] and ischaemic conditions of the upper limb [62], acute herpes and postherpetic neuralgia of the head, neck and thorax [63][64][65][66][67], tumour involvement of the brachial plexus [68], pain in the pleura and chest wall from metastatic bronchogenic carcinoma [69], benign atypical chest pain [70], oesophageal cancer [71] and rupture pain [72], chronic pain in terminally ill patients with pancreatic, renal cell and breast cancers, lymphomas [73], upper abdominal cancers and chronic benign and neoplastic pancreatic pain [74][75][76][77][78][79]. Czop et al [61], in a prospective, randomised crossover study involving 10 patients, compared stellate ganglion blocks with interpleural block for CRPS of the upper extremity.…”

The use of interpleural analgesia using bupivacaine for pain relief in advanced cancer

“…3 IPA has been used to treat acute post-operative pain following cholecystectomy, renal and breast surgery, 3,4 and thoracotomy. 5 Reports have discussed the use of IPA to manage pain of nonmalignant origin including acute herpes zoster, 6 reflex sympathetic dystrophy 7 and post-herpetic neuralgia. 8 Several case reports have discussed the successful use of IPA to manage pain due to malignant disease including carcinoma of the lung, 9,10 carcinoma of the pancreas, 11 liver metastases from colonic carcinoma 12 and brachial plexus invasion by metastases from oral cancers.…”