Estudio prospectivo, aleatorizado comparativo entre el bloqueo guiado por ultrasonidos de las ramas cutáneas laterales de los nervios intercostales frente a analgesia convencional en cirugía no reconstructiva de mama

González-García, J.; González-Bada, A.; López-Ramos, Jose M.; Echevarria-Correas, M.A.; Muñecas-Herreras, M.B.G.; Aguilera-Celorrio, Luciano

doi:10.1016/j.redar.2018.11.001

Cited by 6 publications

(4 citation statements)

References 14 publications

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“… 8–10 BRILMA block was also found to be safe in many studies with no complications. 3 , 4 In our study, we found that the modified BRILMA block provided analgesia as effective as subcostal TAP block with no difference in complications. However, modified BRILMA block has added advantages like the ability to perform even after surgery and also can be repeated in the postoperative period, if warranted.…”

Section: Discussionsupporting

confidence: 48%

“… 12 In a study by Fernandez Martin et al on modified BRILMA block in supraumbilical open surgeries like cholecystectomy and gastrectomy, they found that the intraoperative fentanyl consumption and postoperative morphine consumption were significantly reduced following a preincisional block. 7 In various other studies, Serratus-Intercostal interfascial plane block effectively reduced the postoperative analgesic consumption in nonreconstructive breast surgeries, 3 , 4 open cholecystectomies, 5 and open gastrectomy. 6…”

Section: Discussionmentioning

confidence: 91%

“… 14 The efficacy of Brilma block has been demonstrated in reducing pain scores after supraumbilical open surgeries 7 and breast surgeries. 3 , 4 …”

Section: Discussionmentioning

confidence: 99%

“…This block has been effectively used to treat postoperative pain following breast surgeries. 3 , 4 Performed at the lower intercostal levels, this modified BRILMA block can render analgesia for upper abdominal surgeries. 5–7 There were no Randomized Controlled Trials (RCT) comparing the modified BRILMA block with Subcostal TAP block, and only very few studies are available about the modified BRILMA block to our knowledge.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Ultrasound-Guided Modified BRILMA Block with Subcostal Transversus Abdominis Plane Block for Postoperative Analgesia in Laparoscopic Cholecystectomy – A Randomized Controlled Trial

Saravanan

Venkatraman

Karthika

2021

LRA

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Background and Aims Subcostal Transversus Abdominis Plane (TAP) block is the standard practice for postoperative analgesia following laparoscopic cholecystectomy. This study aimed to compare the efficacy of modified BRILMA Block (blocking the BRanches of Intercostal nerves at the Level of Mid-Axillary line) with Subcostal TAP block for pain relief following laparoscopic cholecystectomy. Methods Sixty cases scheduled for laparoscopic cholecystectomy were randomly divided into two groups: modified BRILMA block (Group B) and Subcostal TAP block (Group T). General anesthesia was standardized for both groups. Blocks were performed with 20 mL of 0.2% Ropivacaine under ultrasound guidance after induction of anesthesia. Patients were administered morphine through patient controlled analgesia (PCA) pump with a bolus dose of 1 mg, 10 min lockout interval, and a basal infusion rate of 0.1 mg/h. The pain was assessed by the Visual Analog Scale (VAS) scores of one to ten. The total morphine consumption, time to first request for rescue analgesia, and VAS scores at rest and with movement, and complications, if any, were recorded. Results The morphine consumption in Group B was 5.67 ± 1.98 mg and in Group T was 5.17 ± 1.85 mg, which was found to be statistically insignificant (p-value = 0.317). The time to first request for rescue analgesia was 759.33 ± 80.29 min in Group B which was comparable to 854 ± 93.01 min in Group T and statistically insignificant (p-value = 0.295). The average VAS scores at rest as well as on movement were comparable in both the groups during the entire 24 h postoperative period. No complications were encountered in our study. Conclusion Ultrasound-guided modified BRILMA block is equally efficacious as subcostal TAP block in providing postoperative analgesia with similar morphine consumption and no significant difference in VAS scores at rest and movement following laparoscopic cholecystectomy. Trial Registration Number CTRI/2020/02/023457.

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Section: Discussionsupporting

confidence: 48%