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Rhomboid intercostal and subserratus plane block -a case series

Authors :
Hesham Elsharkawy
Hassan Hamadnalla
Ece Yamak Altinpulluk
Rodney A. Gabriel
Source :
Korean Journal of Anesthesiology, Vol 73, Iss 6, Pp 550-556 (2020)
Publication Year :
2020
Publisher :
Korean Society of Anesthesiologists, 2020.

Abstract

Background The rhomboid intercostal and subserratus plane (RISS) block is a new interfascial block technique that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe the improved analgesia and dermatomal coverage in patients who received bilateral RISS blocks after a major abdominal surgery. Case Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the T5 to T6 levels, and the subserratus component block was performed at the T6 to T9 levels. The RISS blocks provided effective postoperative analgesia. There was a variation in the dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management. Conclusions The RISS block in abdominal surgery seems to have an important role in perioperative pain management, complementing the multimodal analgesic regimen. To determine the efficacy of the RISS block for abdominal surgery, we need further randomized control trials.

Details

Language :
English
ISSN :
20056419 and 20057563
Volume :
73
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Korean Journal of Anesthesiology
Publication Type :
Academic Journal
Accession number :
edsdoj.85668581e08a45f88da464c83108f590
Document Type :
article
Full Text :
https://doi.org/10.4097/kja.19479