Erector Spinae Block Versus Thoracic Paravertebral Block for Acute Thoracic Herpes Zoster

NCT ID: NCT04656821

Last Updated: 2020-12-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-05

Study Completion Date

2021-06-20

Brief Summary

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The aim of this research is to study and compare the efficacy and safety of single injection erector spinae plane block and thoracic paravertebral block in prevention of post herpetic neuralgia in patients with acute thoracic herpes zoster.

Detailed Description

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Conditions

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Acute Thoracic Herpes Zoster Erector Spinae Plane Block Thoracic Paravertebral Block Pain Relief

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control Group

Patients of this group will receive standard treatment for herpes zoster which include acyclovir 800 mg, 5 times daily administered orally within the first 72 hours and analgesics as needed.

Group Type ACTIVE_COMPARATOR

Control Rx

Intervention Type DRUG

Patients of this group will receive standard treatment for herpes zoster which include acyclovir 800 mg, 5 times daily administered orally within the first 72 hours and analgesics as needed

Erector Spinae Block (ESB) group

Patients of this group will receive 25 mg bupivacaine 0.5%, plus 8 mg dexamethasone in a total volume of 10 ml (The final Patients of this group will receive 25 mg bupivacaine 0.5%, plus 8 mg dexamethasone in a total volume of 10 ml(The final concentration of bupivacaine will be 0.25%) to be injected beneath the erector spinae muscle sheath) at the desired level under ultrasonography. The concentration of bupivacaine will be 0.25%) to be injected beneath the erector spinae muscle sheath) at the desired level under ultrasonography.

Group Type EXPERIMENTAL

Erector Spinae Block

Intervention Type PROCEDURE

Patients of this group will receive 25 mg bupivacaine 0.5%, plus 8 mg dexamethasone in a total volume of 10 ml (The final concentration of bupivacaine will be 0.25%) to be injected beneath the erector spinae muscle sheath) at the desired level under ultrasonography.

Thoracic Paravertebral Block group

Patients will receive 25 mg bupivacaine 0.5%, plus 8mg dexamethasone in a total volume of 10 ml(The final concentration of bupivacaine will be 0.25%) to be injected in the Paravertebral space at the desired level under ultrasonography

Group Type EXPERIMENTAL

Thoracic Paravertebral Block

Intervention Type PROCEDURE

Patients of this group will receive 25 mg bupivacaine 0.5% , plus 8mg dexamethasone in a total volume of 10 ml(The final concentration of bupivacaine will be 0.25%) to be injected in the Paravertebral space at desired level under ultrasonography

Interventions

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Control Rx

Patients of this group will receive standard treatment for herpes zoster which include acyclovir 800 mg, 5 times daily administered orally within the first 72 hours and analgesics as needed

Intervention Type DRUG

Erector Spinae Block

Patients of this group will receive 25 mg bupivacaine 0.5%, plus 8 mg dexamethasone in a total volume of 10 ml (The final concentration of bupivacaine will be 0.25%) to be injected beneath the erector spinae muscle sheath) at the desired level under ultrasonography.

Intervention Type PROCEDURE

Thoracic Paravertebral Block

Patients of this group will receive 25 mg bupivacaine 0.5% , plus 8mg dexamethasone in a total volume of 10 ml(The final concentration of bupivacaine will be 0.25%) to be injected in the Paravertebral space at desired level under ultrasonography

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Over 50 years of age
* Chest wall herpetic eruption of less than one week
* Moderate or severe pain

Exclusion Criteria

* Patient refusal
* Eruption more than one week duration
* Patients who will not receive appropriate anti-viral therapy
* Patients with mild pain
* Infection at the site of injection
* Patients with a history of renal, hepatic diseases, coagulopathy, steroid therapy, malignancies.
* Patient taking chemotherapy and/or radiotherapy.
Minimum Eligible Age

51 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Esraa Hassan Abdelwahab

Assistant lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Tanta University Hospitals

Tanta, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Esraa Hassan Abdelwahab, MSc

Role: CONTACT

Phone: +201010473318

Email: [email protected]

Facility Contacts

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Esraa Hassan Abdelwahab, MSc

Role: primary

Other Identifiers

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32720/11/18

Identifier Type: -

Identifier Source: org_study_id