scholarly journals Out-of-plane ultrasound-guided paravertebral blocks improve analgesic outcomes in patients undergoing video-assisted thoracoscopic surgery

2015 ◽  
pp. 123
Author(s):  
Melanie Donnelly ◽  
Corey Amlong ◽  
Kristopher Schroeder ◽  
Moltu Guy
Keyword(s):  
Thoracoscopic Surgery ◽  
Ultrasound Guided ◽  
Video Assisted ◽  
Out Of Plane ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Rhomboid intercostal block combined with sub-serratus plane block versus rhomboid intercostal block for postoperative analgesia after video-assisted thoracoscopic surgery: a prospective randomized-controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wei Deng ◽  
Xiao-min Hou ◽  
Xu-yan Zhou ◽  
Qing-he Zhou
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Thoracoscopic Surgery ◽  
Controlled Trial ◽  
Ultrasound Guided ◽  
Video Assisted ◽  
Prospective Randomized Controlled Trial ◽  
Numerical Rating ◽  
Intercostal Block ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background Rhomboid intercostal block (RIB) and Rhomboid intercostal block with sub-serratus plane block (RISS) are the two types of plane blocks used for postoperative analgesia after video-assisted thoracoscopic surgery (VATS). This prospective randomized controlled trial was performed to analyze the postoperative analgesic effects of ultrasound-guided RIB block and RISS block after video-assisted thoracoscopic surgery. Methods Ninety patients aged between 18 and 80 years, with American Society of Anesthesiologists physical status Classes I–II and scheduled for elective unilateral VATS were randomly allocated into three groups. In group C, no block intervention was performed. Patients in group RIB received ultrasound-guided RIB with 20-mL 0.375% ropivacaine and those in group RISS received ultrasound-guided RIB and serratus plane block using a total of 40-mL 0.375% ropivacaine. All patients received intravenous sufentanil patient-controlled analgesia upon arrival in the recovery room. Postoperative sufentanil consumption and pain scores were compared among the groups. Results The dosages of sufentanil consumption at 24 h after the surgery in the RIB and RISS groups were significantly lower than that in group C (p < 0.001 and p < 0.001 for all comparisons, respectively), the postoperative Numerical Rating Scale (NRS) scores in the RIB and RISS groups at 0.5, 1, 3, 6, 12, 18, and 24 h after surgery when patients were at rest or active were significantly lower than that in group C (p < 0.05 for all comparisons). The required dosage of sufentanil and time to first postoperative analgesic request in groupRISS were less than those in the group RIB at 24 h after the surgery (p < 0.001 and p < 0.001 for all comparisons, respectively). Similarly, the Numerical Rating Scale scores for group RISS at 12, 18, and 24 h after the surgery when the patients were active were significantly lower than those for group RIB (p < 0.05 for all comparisons). Conclusion Both ultrasound-guided RIB block and RISS block can effectively reduce the demand for sufentanil within 24 h after VATS, and less sufentanil dosage is needed in patient with RISS block. Ultrasound-guided RIB block and RISS block can effectively relieve pain within 24 h after VATS, and RISS block is more effective.

scholarly journals Out of plane approach to erector spinae plane block

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Poonam Darswal ◽  
Divesh Arora
Keyword(s):  
Clinical Practice ◽  
Thoracoscopic Surgery ◽  
Erector Spinae ◽  
Effective Alternative ◽  
Thoracic Paravertebral Block ◽  
Video Assisted ◽  
Erector Spinae Plane Block ◽  
Out Of Plane ◽  
Analgesic Technique ◽  
Video Assisted Thoracoscopic Surgery

We were interested in applying the appealingly safer yet equally effective alternative suggested to thoracic paravertebral block – the erector spinae plane (ESP) block by Forereo1 to our clinical practice. ESP block is being used as an effective analgesic technique in abdominal and thoracic procedures like video-assisted thoracoscopic surgery (VATS) and bariatric surgeries.2,3 It is a very safe and effective analgesic technique with minimal potential for major complications. ESP block proved to be effective for analgesia in breast surgeries as well. 

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