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Rhomboid intercostal block
alongwith sub-serratus plane block (RISS) can be used for postoperative pain
relief and reduces the need of sufentanil after video-assisted thoracotomy..
As per the outcomes of a recent study issued in 'BMC
Pulmonary Medicine', the use of Rhomboid intercostal block alongwith
sub-serratus plane block (RISS) was found to outweigh the benefits of
ultrasound-guided Rhomboid intercostal block (RIB) alone in terms of providing
pain relief and the need of sufentanil after video-assisted thoracoscopic
surgery (VATS).
All in all, 90 patients in age group- 18 to 80 years
scheduled for elective unilateral VATS were randomly designated into 3 groups
to study analyze the postoperative analgesic effects of these blocks after
VATS:
All the patients were subjected to intravenous sufentanil patient-controlled analgesia after the surgery. Also, a comparison of pain scores (via Numerical Rating Scale (NRS)) and sufentanil consumption was done.
After 24 hours, the use of sufentanil doses in RIB and RISS groups were significantly lower as compared to group C. Both the groups had significantly lower NRS scores at 0.5, 1, 3, 6, 12, 18, and 24 hours postoperatively than group C. Patients in RISS group had lesser dosage of sufentanil, time to first postoperative analgesic request and lower NRS scores than RIB group at 24 hours.
As concluded, patients on RISS block had longer analgesic
effects and fewer complaints of pain. Of particular interest, these patients
needed lesser doses of sufentanil than RIB group.
BMC Pulmonary Medicine
Rhomboid intercostal block combined with sub-serratus plane block versus rhomboid intercostal block for postoperative analgesia after video-assisted thoracoscopic surgery: a prospective randomized-controlled trial
Wei Dang et al.
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