Evidence map›Paper›PMID 39391663›Full record

ArticleJournal of anaesthesiology, clinical pharmacology

A Randomized clinical trial comparing the efficacy of ultrasound-guided erector spinae block and paravertebral block in preventing postherpetic neuralgia in patients with zoster-associated pain.

Akkamahadevi Patil, S Vyshnavi, Thanigai Raja, Veeranna Shastry, Srinivas H Thammaiah, K N Archana

Abstract read
In one paragraph

Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Akkamahadevi PatilDepartment of Anaesthesiology, Dr. Moopens Medical College, Meppadi, Wayanad, Kerala, India.
S VyshnaviDepartment of Anaesthesiology, Venereology and Leprosy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Thanigai RajaDepartment of Anaesthesiology, Venereology and Leprosy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Veeranna ShastryDepartment of Dermatology, Venereology and Leprosy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Srinivas H ThammaiahDepartment of Anaesthesiology, Venereology and Leprosy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
K N ArchanaDepartment of Anaesthesiology, Venereology and Leprosy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The treatment for postherpetic neuralgia (PHN) continues to be challenging in clinical pain management. Paravertebral block (PVB) and erector-spinae block (ESPB) are two novel techniques for treating this distressing condition. We aimed to assess the effectiveness of PVB and ESPB in preventing the progression to PHN in patients with acute herpes zoster (AHZ). Material and Methods: Sixty patients in pain due to AHZ were selected for a prospective randomized control study after approval from Institutional Ethical Committee. Written informed consent was taken. Patients were randomized and allotted into Control-group: standard treatment (oral antivirals, analgesics, neuropathic medicines); PVB-Group: standard treatment with PVB and ESPB- Group: standard treatment with ESPB. Under ultrasound guidance, both blocks were administered with 20 ml of 0.25% bupivacaine + dexamethasone 8 mg. Efficacy was evaluated on the 15 Results: The incidence of PHN post study was 45% in the ESPB group and 40% in the PVB group and 80% in the control group ( Conclusion: PVB and ESPB are effective approaches in treating patients suffering from pain due to acute zoster and help in preventing its progression to PHN.

Indexed as

Erector spinae plane blockparavertebral blockpost herpetic neuralgiaultrasound

Identifiers

PMID39391663
PMCPMC11463945

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.