Effects of rhomboid intercostal plane block for postoperative analgesia after thoracoscopic surgery compared with local anesthetic infiltration: A randomized clinical trial

Toulan, Heba F; Abdelrazik, R A

doi:10.1080/11101849.2022.2059611

Egyptian Journal of Anaesthesia

2022

DOI: 10.1080/11101849.2022.2059611

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Effects of rhomboid intercostal plane block for postoperative analgesia after thoracoscopic surgery compared with local anesthetic infiltration: A randomized clinical trial

Heba F Toulan

R A Abdelrazik

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2024

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Cited by 2 publications

References 9 publications

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Investigation of the analgesic effects of rhomboid intercostal and pectoral nerve blocks in breast surgery

Kulturoglu,

Altinsoy,

Ergil

et al. 2024

J Anesth

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Investigation of the analgesic effects of rhomboid intercostal and pectoral nerve blocks in breast surgery

Kulturoglu,

Altinsoy,

Ergil

et al. 2024

J Anesth

View full text Add to dashboard Cite

The Effectiveness and Safety of Rhomboid Intercostal Block for Postoperative Pain Management in Thoracic and Breast Surgical Procedures: A Meta-analysis

Saputra,

Sutiyono,

Istanto Nurcahyo

2024

Anesth Pain Med

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Background: The rhomboid intercostal block (RIB) is an emerging regional anesthesia (RA) technique used for pain control following thoracic and breast surgery. However, comprehensive documentation on its effectiveness and safety profile remains limited. This study aims to assess the effectiveness and safety of RIB in thoracic and breast surgical procedures. Methods: A study search was conducted following PRISMA 2020 guidelines in PubMed, Cochrane Library, Embase, Scopus, and ProQuest from 2016 to 2023 to identify randomized controlled trials (RCTs) evaluating the effectiveness and safety of RIB in thoracic and breast surgeries. The primary outcome was patient pain scores at rest, recorded at one, six, 12, and 24 hours post-surgery. Secondary outcomes included 24-hour opioid consumption and rates of postoperative nausea and vomiting (PONV). Results: This meta-analysis included five RCTs with a total of 368 patients. Rhomboid intercostal block led to a significant reduction in NRS scores one hour post-surgery (SMD = -1.33; 95% CI = -1.74 to -0.91; P < 0.00001, I² = 18%, P = 0.27), 12 hours post-surgery (SMD = -0.74; 95% CI = -0.99 to -0.48; P < 0.00001, I² = 36%, P = 0.21), and 24 hours post-surgery (SMD = -1.62; 95% CI = -2.56 to -0.69; P = 0.00006, I² = 91%, P < 0.00001). Regarding secondary outcomes, the RIB group showed a significant reduction in 24-hour opioid consumption (SMD = -4.49; 95% CI = -6.09 to -2.90; P < 0.00001, I² = 95%, P < 0.00001) and PONV rates (RR = -0.29; 95% CI = 0.18 to 0.47; P < 0.00001, I² = 0%, P = 0.88). Conclusions: Rhomboid intercostal block provides effective pain reduction and lowers opioid consumption within 24 hours post-surgery, while also minimizing PONV rates.

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Effects of rhomboid intercostal plane block for postoperative analgesia after thoracoscopic surgery compared with local anesthetic infiltration: A randomized clinical trial

Cited by 2 publications

References 9 publications

Investigation of the analgesic effects of rhomboid intercostal and pectoral nerve blocks in breast surgery

Investigation of the analgesic effects of rhomboid intercostal and pectoral nerve blocks in breast surgery

The Effectiveness and Safety of Rhomboid Intercostal Block for Postoperative Pain Management in Thoracic and Breast Surgical Procedures: A Meta-analysis

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