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Efficacy of rhomboid intercostal block for analgesia after thoracotomy

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초록

Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly performed by injection to the upper intercostal muscle plane below the rhomboid muscle. It has been reported to provide analgesia at the T3-T9 levels. The RIB was performed on 5 patients who had been scheduled for thoracotomy. The catheter was advanced in the area under the rhomboid muscle between the intercostal muscles. Postoperative visual analog scale (VAS) scores were observed and each patient's resting VAS score remained below 3 for 48 hours. The RIB has been observed to be a convenient plane block for post-thoracotomy analgesia. We believe that further information from detailed studies is required.

Abstract

Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly performed by injection to the upper intercostal muscle plane below the rhomboid muscle. It has been reported to provide analgesia at the T3-T9 levels. The RIB was performed on 5 patients who had been scheduled for thoracotomy. The catheter was advanced in the area under the rhomboid muscle between the intercostal muscles. Postoperative visual analog scale (VAS) scores were observed and each patient's resting VAS score remained below 3 for 48 hours. The RIB has been observed to be a convenient plane block for post-thoracotomy analgesia. We believe that further information from detailed studies is required.

참고문헌 (7)

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  3. Elsharkawy H, "Rhomboid intercostal block", Anaesthesia, 71, pp.856~857 (2016)
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  5. Ökmen K, "The efficacy of serratus anterior plane block in analgesia for thoracotomy: a retrospective study", J Anesth, 31, pp.579~585 (2017)
  6. Elsharkawy H, "Rhomboid intercostal and subserratus plane block : a cadaveric and clinical evaluation", Reg Anesth Pain Med, 43, pp.745~751 (2018)
  7. Tulgar S, "Ultrasound guided rhomboid intercostal block provides effective analgesia for excision o f elast ofibroma e xt ending t o the s ubscapular space : the first report of use in anesthesia practice", J Clin Anesth, 52, pp.34~35 (2019)

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