Effect of Ultrasound‐Guided Intercostal Nerve Block Versus Fluoroscopy‐Guided Epidural Nerve Block in Patients With Thoracic Herpes Zoster: A Comparative Study

Lee, Hyo Jeong; Park, Hong Souk; Moon, Hyun Im; Yoon, Seo Yeon

doi:10.1002/jum.14758

Cited by 14 publications

(5 citation statements)

References 21 publications

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“…9 Lidocaine makes the lesion area reach a painless state quickly and plays the role of muscle relaxant, vasodilator and improved microcirculation. 29 Dexamethasone provides antiinflammatory, analgesic and immunosuppressive effects and prolongs the effect time when combined with local anesthetics. [30][31][32][33] The application of nerve block has been proven to be safe in the treatment of herpes zoster.…”

Section: Discussionmentioning

confidence: 99%

Effect of CT-Guided Gasserian Ganglion Block with Local Anesthetics and Steroids on Acute/Subacute Zoster-Related Trigeminal Neuralgia: A Multicenter Retrospective Study

Sun¹,

Liu²,

Liu³

et al. 2022

JPR

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Purpose To further evaluate the effects of gasserian ganglion block treatment with local anesthetics and steroids on patients with acute/subacute zoster-related trigeminal neuralgia. Patients and Methods This is a multicenteric retrospective study which included patients between the ages of 26–92 years, who suffered from acute/subacute zoster-related trigeminal neuralgia and had undergone CT-guided gasserian ganglion block. The medical records of these patients between January 13, 2016 and August 25, 2021 were retrieved, and the patients were followed up for 6 months. Follow-up outcomes were Numerical Rating Scale (NRS) scores, medications and dosage. The effective rate was defined as the number of cases with NRS score reduction of >50%/total number of cases×100% at 12 weeks postoperatively. Results The postoperative NRS scores were significantly decreased in all patients (P < 0.05), and NRS scores in acute zoster group were lower than those in subacute zoster group at different time points (P < 0.05). The percentage of patients who had a reduction of medication use value of >50% was 56.4% and the effective rate was 66.7% in all patients, at 3 months after the block treatment. There was no significant difference in the reduction of medication use value of >50% and the effective rates between the two groups. There were no intracranial hemorrhage, infection or other serious adverse effects in either groups. Conclusion CT-guided gasserian ganglion block with local anesthetics and steroids can be an effective and safe technique to relieve the pain of acute/subacute zoster-related trigeminal neuralgia.

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Section: Discussionmentioning

confidence: 99%

Effect of CT-Guided Gasserian Ganglion Block with Local Anesthetics and Steroids on Acute/Subacute Zoster-Related Trigeminal Neuralgia: A Multicenter Retrospective Study

Sun¹,

Liu²,

Liu³

et al. 2022

JPR

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“…As in other peripheral blocks, the use of steroids as adjuvants in the intercostal nerve block has been shown to prolong the block duration. Lee et al [32] compared the efficacy of conventional fluoroscopy-guided ESP block and USG-guided intercostal nerve block in patients with herpes zoster. Block was applied with 5 mL of 2.5 mg dexamethasone and 0.5% lidocaine combination.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Efficacy of Erector Spinae Plane Block and Intercostal Nerve Block in the Postherpetic Neuralgia

Hacıbeyoğlu

Arıcan

Ulukaya

et al. 2020

Agri

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The aim of this study was to compare the efficacy of an intercostal nerve block, which has been used for many years in the treatment of postherpetic neuralgia, and the more recent alternative of an erector spinae plane (ESP) block. Methods: The records of 39 patients who were treated in the algology department for postherpetic neuralgia between May 1, 2015 and May 1, 2018 were evaluated retrospectively. Patients who received an intercostal nerve block constituted Group 1 and those who received an ESP block were categorized as Group 2. The change in numeric rating scale (NRS) and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) scores in the short term and in the long term were the primary results of the study. Results: The NRS, LANSS, and sleep interference scale (SIS) scores of the patients in Group 1 and Group 2 were found to be significantly lower at the 24 th hour, week 4, and week 12 compared with the values obtained before block application. In Group 1, the scores recorded at week 4 and week 12 were significantly higher than the 24 th hour values, whereas no difference was observed between these results in Group 2. There was no significant difference between the groups in the week 4 and week 12 scores. Similarly, no significant difference was observed in the NRS, LANSS, or SIS scores before the block application or at the 24 th hour. However, the scores at week 4 and week 12 were significantly lower in Group 2 compared with Group 1. Conclusion: The results indicated that an ESP block significantly decreased neuropathic pain symptoms and the need for additional treatment in postherpetic neuralgia treatment in the long term.

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“…Any procedure involving the chest wall (thoracic surgeries), as well as rib fractures, could be an indication for ICNB ( 16 ). Indications outside the operating room include postsurgical analgesia after thoracostomy and postherpetic neuralgia ( 17 ). Thoracic epidural analgesia (TEA) has been considered the gold standard for postoperative pain control after thoracic surgery and was an integral part of early Enhanced Recovery After Surgery (ERAS) protocols for many years.…”

Section: Intercostal Nerve Block (Icnb)mentioning

confidence: 99%

Regional anesthesia for thoracic surgery: a narrative review of indications and clinical considerations

Sertçakacılar¹,

Tire²,

Kelava³

et al. 2022

J Thorac Dis

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Background and Objective: Surgical procedures involving incisions of the chest wall regularly pose challenges for intra-and postoperative analgesia. For many decades, opioids have been widely administered to target both, acute and subsequent chronic incisional pain. Opioids are potent and highly addictive drugs that can provide sufficient pain relief, but simultaneously cause unwanted effects ranging from nausea, vomiting and constipation to respiratory depression, sedation and even death. Multimodal analgesia consists of the administration of two or more medications or analgesia techniques that act by different mechanisms for providing analgesia. Thus, multimodal analgesia aims to improve pain relief while reducing opioid requirements and opioid-related side effects. Regional anesthesia techniques are an important component of this approach.Methods: For this narrative review, authors summarized currently used regional anesthesia techniques and performed an extensive literature search to summarize specific current evidence. For this, related articles from January 1985 to March 2022 were taken from PubMed, Web of Science, Embase and Cochrane Library databases. Terms such as "pectoral nerve blocks", "serratus plane block", "erector spinae plane block" belonging to blocks used in thoracic surgery were searched in different combinations.

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Effect of Ultrasound‐Guided Intercostal Nerve Block Versus Fluoroscopy‐Guided Epidural Nerve Block in Patients With Thoracic Herpes Zoster: A Comparative Study

Cited by 14 publications

References 21 publications

Effect of CT-Guided Gasserian Ganglion Block with Local Anesthetics and Steroids on Acute/Subacute Zoster-Related Trigeminal Neuralgia: A Multicenter Retrospective Study

Effect of CT-Guided Gasserian Ganglion Block with Local Anesthetics and Steroids on Acute/Subacute Zoster-Related Trigeminal Neuralgia: A Multicenter Retrospective Study

Evaluation of the Efficacy of Erector Spinae Plane Block and Intercostal Nerve Block in the Postherpetic Neuralgia

Regional anesthesia for thoracic surgery: a narrative review of indications and clinical considerations

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