Erector spinae plane (ESP) block for pain management caused by acute herpes zoster during pregnancy: A case report

Abstract

Clinical Case: The case of a 27-year-old patient is presented, with 19 weeks of gestation, with a clinical picture of 3 days of severe and neuropathic pain secondary to thoracic herpes zoster and given the restriction in the use of analgesics and neuromodulators in pregnancy, was only treated with acetaminophen, without clinical improvement. Therefore, an ESP block was performed at the left T3 level and a catheter was implanted for continuous infusion of bupivacaine 0.25% for 15 days. Pain scales VAS, DN4, satisfaction, SPADI scale mobility, medication consumption, before and after the procedure were measured. The patient reported complete resolution of pain, had no need for opioid use, and there were no adverse effects or complications related to the procedure.