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Ultrasound guided rhomboid intercostal block: A pilot study to assess its analgesic efficacy in paediatric patients undergoing video-assisted thoracoscopy surgery

Indian journal of anaesthesia, 2020-11, Vol.64 (11), p.949-953 [Peer Reviewed Journal]

Copyright: © 2020 Indian Journal of Anaesthesia. ;COPYRIGHT 2020 Indian Society of Anaesthesiologists ;COPYRIGHT 2020 Medknow Publications and Media Pvt. Ltd. ;Copyright: © 2020 Indian Journal of Anaesthesia 2020 ;ISSN: 0019-5049 ;EISSN: 0976-2817 ;DOI: 10.4103/ija.IJA_813_20 ;PMID: 33487679

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  • Title:
    Ultrasound guided rhomboid intercostal block: A pilot study to assess its analgesic efficacy in paediatric patients undergoing video-assisted thoracoscopy surgery
  • Author: Kumar, Amarjeet ; Sinha, Chandni ; Kumari, Poonam ; Kumar, Ajeet ; Sinha, Amit Kumar ; Kumar, Bindey
  • Subjects: Atracurium ; Medical research ; Medicine, Experimental ; Original ; Surgery
  • Is Part Of: Indian journal of anaesthesia, 2020-11, Vol.64 (11), p.949-953
  • Description: Ultrasound guided rhomboid intercostal plane block (RIB) is a relatively new regional anaesthesia technique that has shown to provide dermatomal coverage from T2-9 on the whole anterior and posterior hemithorax. It has proved effective in providing preemptive analgesia in various surgeries like mastectomy and thoracotomy. The aim of the study was to study the efficacy of RIB in paediatric patients: 7 to 12 years undergoing thoracoscopic surgeries in terms of analgesic requirement, pain scores and adverse effects. In this randomised, prospective double-blind study, 40 American Society of Anesthesiologists I/II patients, of the age group 7-12 years scheduled for Video-assisted thoracoscopy (VATS) surgery were recruited. The patients were allocated to one of the two groups: group R: general anaesthesia + RIB (RIB group) and group F: general anaesthesia (FENT group). Perioperative opioid consumption and postoperative pain scores were recorded. Adverse effects like respiratory depression and nausea were also noted. Patients in group R required less intraoperative fentanyl dose (1.45 ± 0.65 vs 2.90 ± 0.45) ( < 0.05). Postoperative opioid consumption was also less in this group R (2.90 ± 0.91 vs 5.56 ± 1.08) ( < 0.05). Less number of patients experienced nausea (2 vs 6) and respiratory depression (2 vs 7) in group R. Ultrasound guided RIB reduces perioperative opioid consumption in patients undergoing VATS surgery with lesser postoperative pain scores.
  • Publisher: India: Medknow Publications and Media Pvt. Ltd
  • Language: English
  • Identifier: ISSN: 0019-5049
    EISSN: 0976-2817
    DOI: 10.4103/ija.IJA_813_20
    PMID: 33487679
  • Source: PubMed Central
    Medknow Open Access Medical Journals
    ProQuest Central
    DOAJ Directory of Open Access Journals
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