Rhomboid intercostal block for scapulothoracic arthrodesis

Gürkan, Yavuz; Gedik, Cemil Cihad; Manici, Mete; Darçın, Kamil

doi:10.1016/j.jclinane.2021.110168

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…Previously, rhomboid intercostal block was used as the regional analgesic method for STA in a case. 9 It was effective for postoperative pain management however it was not possible to place a catheter because following the surgery the anatomy and fascial plane of the rhomboid block is altered.…”

Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block for Scapulothoracic Arthrodesis for Facioscapulohumeral Dystrophy Patients: A Case Series

et al. 2023

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Facioscapulohumeral dystrophy (FSHD) typically affects the periscapular muscles, resulting in scapular winging. Scapulothoracic arthrodesis (STA) stabilizes the scapula to provide better movement for these patients. Analgesia regimen for FSHD patients who received a single-shot erector spinae plane block (ESPB) and a catheter at the area were retrospectively analyzed in this study. Patients were asked to rate their pain postoperatively and only 5 of 10 patients needed rescue analgesic. No complications occurred. Our experience suggests that continuous ESPB may be helpful for providing analgesia in FSHD patients undergoing STA.

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Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block for Scapulothoracic Arthrodesis for Facioscapulohumeral Dystrophy Patients: A Case Series

et al. 2023

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“…Interfascial plane blocks offer an alternative to epidural analgesia mainly for abdominal and thoracic surgeries, 10 , 11 and their usage is increasing daily. 14 , 15 Yet, these interfascial plane blocks provide mainly analgesia and not anaesthesia. 10 These blocks are considered as part of multimodal analgesia and are not always enough to provide total pain-free period on their own.…”

Section: Discussionmentioning

confidence: 99%

Regional Anaesthesia in the Post-COVID Era

Gürkan¹,

Acikalin²,

Adanur³

et al. 2022

Turk J Anaesthesiol Reanim

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COVID-19 pandemic has changed clinical practice significantly. Trying to avoid airway manipulation to reduce viral transmission favoured regional anaesthesia techniques over general anaesthesia when feasible. In this case report, we share the anaesthetic care of a 45-year-old male with a history of intensive care unit admission due to COVID, positive pressure ventilation, and ECMO support. The patient was diagnosed with cubital tunnel syndrome, and his treatment was successfully applied as surgical release under infraclavicular block. This case is discussed in relation to recent trends in anaesthesiology, regarding patients with COVID-19 history.

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“…These blocks have been revealed to provide important analgesic benefits to the patients. [4] The rhomboid intercostal block (RIB) aims to block the lateral cutaneous branches of the thoracic intercostal nerves (Th3-9) and is one of the novel fascial plane blocks described for the first time by Elsharkawy et al [5] It has been shown that RIB has been used effectively in the treatment of patients undergoing thoracotomy, [6] scapulothoracic arthrodesis, [7] and lung transplant process. [8] Here, we report the use of RIB in five consecutive patients employed as an element of multimodal analgesia in those who underwent cardiac surgery through a median sternotomy.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound guided rhomboid intercostal block for analgesia after cardiac surgery: A new indication for novel fascial plane block

Dost¹

2023

GKDA Derg

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Objectives: Acute postoperative pain is a common complication after cardiac surgery. When not properly regulated, it may have a negative impact on clinical results. One of the novel fascial plane blocks that aims to blockade the lateral cutaneous branches of the thoracic intercostal nerves is the rhomboid intercostal block. In the literature, there is no research of rhomboid intercostal block in cardiac surgery, and a limited number of reports employing this block to analgesia for thoracotomy, scapulothoracic arthrodesis, and lung transplantation. In our research, we aimed to display a case series of bilateral rhomboid intercostal blocks employed as an element of multimodal analgesia in five consecutive patients who underwent cardiac surgery through a median sternotomy. Methods: Five adult patients who had a rhomboid intercostal block for postoperative analgesia after cardiac surgery were investigated. Within the first 24 hours after surgery, cumulative morphine consumption and pain scores during rest and coughing were assessed. Results: In the first 24 h after surgery, the median cumulative morphine intake was 4 mg (0-20 mg). Also, the patients' pain scores were less (NRS≤4) at all-time points. There were no opioid-related adverse events or block-related additions in any patient. Conclusion:As part of multimodal analgesia, the rhomboid intercostal block was thought to help reduce opioid consumption as well as pain scores in cardiac surgery cases.

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Rhomboid intercostal block for scapulothoracic arthrodesis

Cited by 4 publications

References 2 publications

Erector Spinae Plane Block for Scapulothoracic Arthrodesis for Facioscapulohumeral Dystrophy Patients: A Case Series

Erector Spinae Plane Block for Scapulothoracic Arthrodesis for Facioscapulohumeral Dystrophy Patients: A Case Series

Regional Anaesthesia in the Post-COVID Era

Ultrasound guided rhomboid intercostal block for analgesia after cardiac surgery: A new indication for novel fascial plane block

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