Evaluation of rhomboid intercostal and subserratus plane block under direct vision for postoperative analgesia in thoracic surgeries: a prospective, randomized controlled trial

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dc.contributor.authorKozanhan, Betul
dc.contributor.authorSemerkant, Tolga
dc.contributor.authorEsme, Hidir
dc.contributor.authorCanitez, Ahmet
dc.contributor.authorIyisoy, Mehmet Sinan
dc.date.accessioned2024-02-23T14:21:00Z
dc.date.available2024-02-23T14:21:00Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractOBJECTIVES: This study is designed to evaluate the efficacy of rhomboid intercostal and subserratus plane (RISS) block under the surgeon's direct vision for providing postoperative pain relief after thoracic surgeries. METHODS: Forty patients who underwent thoracotomy were prospectively recruited and randomly assigned to group R (intravenous patient-controlled analgesia + continued RISS block; n = 20) and group C (intravenous patient-controlled analgesia; n = 20). Numeric rating scale at rest and cough, at post-anaesthetic care unit, 1, 2, 6, 9, 12, 24 and 48 h, was used as the primary outcome measure. Secondary outcome measures were the amount of tramadol consumption, the number of patients required rescue analgesia, the occurrence of postoperative adverse effects, pulmonary functions and the overall satisfaction with pain management. RESULTS: Numeric rating scale scores both at rest and during coughing were significantly lower in group R than in group C at all time intervals (P < 0.001 in each). Tramadol consumption at 24 and 48 h was significantly lower in the group R block than in group C (P < 0.001 for each). None of the patients in group R requires rescue analgesia. The incidence of nausea and vomiting was similar among the groups. Compared with group C, change in lung function from baseline levels was significantly less in group R (P = 0.047 and P = 0.04 for FEV1 and FVC, respectively). The satisfaction scores in group R were significantly higher than that in group C (P < 0.001). CONCLUSIONS: Continuous RISS block improved postoperative outcomes of thoracic surgery in terms of reduced postoperative pain scores, sparing opioid consumption, pulmonary function and patient satisfaction.en_US
dc.identifier.doi10.1093/ejcts/ezac498
dc.identifier.issn1010-7940
dc.identifier.issn1873-734X
dc.identifier.issue6en_US
dc.identifier.pmid36218395en_US
dc.identifier.scopus2-s2.0-85142940437en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1093/ejcts/ezac498
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13404
dc.identifier.volume62en_US
dc.identifier.wosWOS:000892862200010en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherOxford Univ Press Incen_US
dc.relation.ispartofEuropean Journal Of Cardio-Thoracic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnalgesiaen_US
dc.subjectThoracotomyen_US
dc.subjectNerve Blocken_US
dc.subjectPostoperative Perioden_US
dc.subjectRegional Anaesthesiaen_US
dc.subjectSurgeryen_US
dc.titleEvaluation of rhomboid intercostal and subserratus plane block under direct vision for postoperative analgesia in thoracic surgeries: a prospective, randomized controlled trialen_US
dc.typeArticleen_US

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