Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
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Following chicken pox infection, varicella-zoster virus stays as a latent infection in sensory root ganglia. After many years, the reactivation of this latent virus in sensory ganglia causes "herpes zoster". Herpes zoster (shingles) is an unilateral, dermatomal, localised, painful, vesicular, and contagious skin infection. ⋯ Early intervention with antiviral treatment, analgesic therapy and antidepressant therapy may reduce the risk of these complications. The treatment of PHN is same as for other neuropathic pain syndromes. The clinical importance of PHN is due to the severity and chronicity of pain which is usually not responsive to many treatments, and quality of life may be adversely affected by PHN.
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For years pediatric pain management has been practiced without clear rational use of analgesic therapy. The recent improved understanding of anatomical and physiological pathways of pain perceptions, and opioid and local anesthetic pharmacology in infants and children has led to the development of formal analgesic regimens for the management of pain. Also modifying the anatomical approach for children, studying new agents and combinations of agents, technological developments have made regional anesthetics techniques more accessible to children. ⋯ Regional anesthetic techniques have a significant but limited place in the practice of pain management in infants and children. However regional anesthetic techniques presumably afford many of the same advantages for the pediatric patients as it does in the adult patients. In this review, we discuss regional and topical anesthetic techniques available to clinicians who care for this population.