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NCT07732556

Overview

NCT ID: NCT07732556
Lead Sponsor: Tanta UniversityOTHER
Official Title: Comparison Between Midpoint Transverse Process to Pleura (MTP) Block vs Erector Spinae Plane (ESP) Block for Acute Herpes Zoster (HZ) Pain
Brief Summary: The aim of this study is to compare the analgesic efficacy and safety of ultrasound-guided midpoint transverse process block versus ultrasound-guided erector spinae plane block in patients suffering from thoracic herpes zoster pain.
Conditions: Midpoint Transverse Process to Pleura Block
Erector Spinae Plane Block
Acute Herpes Zoster
Pain
Interventions

Ages Eligible for Study: Adult (18-64)
Sexes Eligible for Study: All
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Age 21-60 years.

Both sexes.

American Society of Anesthesiologists (ASA) physical status I-II.

Acute thoracic herpes zoster within 30 days of rash onset.

Moderate to severe pain [numeric rating scale (NRS)≥4].

Exclusion Criteria:

Refusal to participate.

Coagulopathy or anticoagulant therapy.

Infection at puncture site.

Allergy to study drugs.

Severe psychiatric illness or inability to assess pain.

Previous thoracic surgery deformity.

Uncontrolled Diabetic patient.

Chronic diseases as renal, hepatic, malignancy.

Patients with chronic disease need analgesia.

Patients are coming for more than 3 months (after healing of rash).

Central Contacts: Mohamed A Kazamel, MBBCHContact
mohamed198330_pg@med.tanta.edu.eg00201205997183

Participant Group/Arms

Group MTPOther

Patients will receive ultrasound-guided midpoint transverse process to pleura block using 10 mL 0.25% bupivacaine + 40 mg methylprednisolone.

Other: Midpoint transverse process to pleura block

Group ESPOther

Patients will receive ultrasound -guided erector spinae plane block using 10 mL 0.25% bupivacaine + 40 mg methylprednisolone.

Other: Erector spinae plane block