Rhomboid intercostal and subserratus plane block -a case series-

Abstract

Background: The Rhomboid intercostal and Subserratus plane (RISS) block is a new interfascial block that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe improved analgesia and dermatomal coverage within the patients who received bilateral ARISS blocks after major abdominal surgery. Case: Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the level of T5 to T6 and the subserratus component block was performed at T6 to T9 level (either single injections or catheter infusion). RISS blocks provided effective postoperative analgesia. There was a variation of dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management. Conclusions: RISS block in abdominal surgery seems to have an important role in perioperative pain management complementing the multimodal analgesic regimen. To determine the efficacy of RISS block for abdominal surgery, further randomized control trials are needed.

Application of unilateral rhomboid intercostal and subserratus plane block for analgesia after laparoscopic cholecystectomy: a quasi-experimental study

“…The main causes of early pain after laparoscopic cholecystectomy are peritoneum and abdominal wall distension due to pneumoperitoneum and somatic pain at the trocar insertion site(s) [ 4 , 5 ]. Effective use of truncal blocks, such as the erector spinae plane or quadratus lumborum block, has been demonstrated in postoperative pain management in laparoscopic cholecystectomy [ 6 - 8 ]. The rhomboid intercostal and subserratus plane (RISS) block provides analgesia from the third to the 12th thoracic dermatomes and has been used in postoperative pain management for thoracic surgeries [ 7 , 8 ].…”

“…Effective use of truncal blocks, such as the erector spinae plane or quadratus lumborum block, has been demonstrated in postoperative pain management in laparoscopic cholecystectomy [ 6 - 8 ]. The rhomboid intercostal and subserratus plane (RISS) block provides analgesia from the third to the 12th thoracic dermatomes and has been used in postoperative pain management for thoracic surgeries [ 7 , 8 ]. Although it is used for postoperative analgesia after upper abdominal surgery, there have been no adequate studies investigating the use of RISS blocks in laparoscopic cholecystectomy [ 7 , 8 ].…”

Ultrasound-guided rhomboid intercostal block provides effective pain control after video-assisted thoracoscopic surgery: a brief report of three cases

“…Rhomboid intercostal block (RIB) is a novel block that may be used for several indications such as thoracic procedures and myofascial pain [ 1 , 2 ]. It may be performed for open thoracotomy [ 3 ]; however, more information is needed for other thoracic procedures.…”

Ultrasound-guided rhomboid intercostal block effectively manages myofascial pain

“…We have read with great interest the article on rhomboid intercostal and subserratus block by Elsharkawy et al [ 1 ]. They have reported that rhomboid intercostal and sub-serratus block helps effectively manage pain in patients after major abdominal surgeries.…”