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Ultrasound-guided erector spinae plane block for acute herpes zoster pain management: Is it safe?

Published:December 05, 2018DOI:https://doi.org/10.1016/j.ajem.2018.12.005
      We read with great interest the case report titled “Ultrasound-guided Erector Spinae Plane Block for Acute Herpes Zoster Pain Management,” by Tekin et al. [
      • Tekin E.
      • Ahiskalioglu A.
      • Aydin M.E.
      • Sengun E.
      • Bayramoglu A.
      • Alici H.A.
      High-thoracic ultrasound-guided erector spinae plane block for acute herpes zoster pain management in emergency department.
      ] We applaud the authors' efforts in controlling pain during its devastating acute phase, and we agree that a number of randomized controlled trials are needed to determine the efficacy of this approach in comparison to conventional methods of pain management. However, a few questions come to mind regarding the efficacy, duration of action, and safety of the block, which may need to be addressed before drafting a study protocol.
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