{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:10:06Z","timestamp":1787317806226,"version":"build-2736575974"},"reference-count":27,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Ultrasound (US)-guided intercostal nerve block (ICNB) is an easier approach with a very low incidence of complications for different surgeries; nevertheless, only a few studies estimate the effect of ICNB for acute HZ. To explore the US-guided ICNB for management of herpes zoster (HZ)-related acute pain and possible prophylaxis for post-herpetic neuralgia (PHN) taking the conventional thoracic paraverteral block (TPVB) as control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 128 patients with HZ were retrospectively stratified into antiviral treatment (AVT) plus US-guided TPVB (TPVB group), AVT plus US-guided ICNB (ICNB group) or AVT alone (control group) based on the treatment they received. HZ-related illness burden (HZ-BOI) over 30 days after inclusion as the primary endpoint was determined by a severity-by-duration composite pain assessment. Rescue analgesic requirement, health-related quality of life, PHN incidence, and adverse events were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significantly lower HZ-BOI scores within post-procedural 30 days using the area under the curve were reported with TPVB and ICNB compared with the control group: mean difference of 57.5 (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and 40.3 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003). No difference was reported between TPVB and ICNB (\n                      <jats:italic>p<\/jats:italic>\n                      = 1.01). Significant greater improvements in PHN incidence, EQ-5D-3L scores, and rescue analgesic requirements were observed during follow-up favoring two trial groups, while comparable between two trial groups. No serious adverse events were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>US-guided ICNBs were as effective as TPVBs for acute HZ. The ICNB technique was an easier and time-efficient approach as opposed to conventional TPVB, which might be encouraged as a more accessible preemptive mean for preventing PHN.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/sjpain-2024-0030","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T12:13:25Z","timestamp":1720527205000},"source":"Crossref","is-referenced-by-count":6,"title":["Application of ultrasound-guided thoracic paravertebral block or intercostal nerve block for acute herpes zoster and prevention of post-herpetic neuralgia: A case\u2013control retrospective trial"],"prefix":"10.1515","volume":"24","author":[{"given":"Mianrong","family":"Xue","sequence":"first","affiliation":[{"name":"Department of Anesthesiology , Beijing Chuiyangliu Hosptial, No. 2 Chuiyangliu Street , Chaoyang District , Beijing, 100021 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Diagnosis, North Distirct of Peking University Third Hospital, Peking University , No. 10 Chedaogou, Haidian District , Beijing , 100730 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanwei","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology , Beijing Chuiyangliu Hosptial, No. 2 Chuiyangliu Street , Chaoyang District , Beijing, 100021 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenlong","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Dongfang Hospital Beijing University of Chinese Medicine , No. 6 Fangxingyuan Fengtai District , Beijing , 100078 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Runqiao","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Beijing Chuiyangliu Hosptial Affiliated to Tsinghua University , No. 2 Chuiyangliu Street, Chaoyang District, 100021 , Beijing , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"2025120910063071188_j_sjpain-2024-0030_ref_001","doi-asserted-by":"crossref","unstructured":"Schmader K. 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