The efficacy of rhomboid intercostal block for pain management after video-assisted thoracoscopic surgery: a prospective, randomized-controlled trial.

Autor: Ciftci B; Department of Anesthesiology and Reanimation, Istanbul Medipol University, 34040, Bagcilar, Istanbul, Turkey. bciftci@medipol.edu.tr., Alver S; Department of Anesthesiology and Reanimation, Istanbul Medipol University, 34040, Bagcilar, Istanbul, Turkey., Güngör H; Department of Anesthesiology and Reanimation, Istanbul Medipol University, 34040, Bagcilar, Istanbul, Turkey., Gölboyu BE; Department of Anesthesiology, Katip Çelebi University, Izmir, Turkey., Subasi M; Department of Thoracic Surgery, Istanbul Medipol University, Istanbul, Turkey., Omur B; Department of Anesthesiology and Reanimation, Istanbul Medipol University, 34040, Bagcilar, Istanbul, Turkey., Gul YG; Department of Anesthesiology and Reanimation, Istanbul Medipol University, 34040, Bagcilar, Istanbul, Turkey., Ekinci M; Department of Anesthesiology and Reanimation, Bursa City Hospital, Bursa, Turkey.
Jazyk: angličtina
Zdroj: General thoracic and cardiovascular surgery [Gen Thorac Cardiovasc Surg] 2024 Dec; Vol. 72 (12), pp. 779-785. Date of Electronic Publication: 2024 Apr 26.
DOI: 10.1007/s11748-024-02036-8
Abstrakt: Objective: We aimed to evaluate the efficacy of rhomboid intercostal block (RIB) for analgesia management in patients who underwent video-assisted thoracoscopic surgery.
Methods: Adult patients who underwent VATS under general anesthesia between July 2020 and June 2022 were included in the study. There was two groups in this study: RIB (n = 25) vs control (n = 25) group. RIB was performed with 30 ml 0.25% bupivacaine at the end of the surgery. Surgical intercostal blockade was performed with 30 ml 0.25% bupivacaine in the control group. The patients received intravenous fentanyl patient-controlled postoperative analgesia. The numerical rating score (NRS), opioid consumption, and adverse events were recorded.
Results: A total of 50 patients were randomized into 2 groups. There were no significant difference in terms of the demographic data between groups (P > 0.05). Postoperative opioid consumption at 0-8, 8-16, 16-24, and 24-48 h and rescue analgesic use were significantly lower in RIB group (P < 0.05). At all times, the static/dynamic NRS were significantly lower in RIB group. The rate of nausea and itching was higher in control group (P < 0.05).
Conclusion: US-guided RIB provides effective post-VATS analgesia.
(© 2024. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.)
Databáze: MEDLINE
Externí odkaz: