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Rhomboid intercostal and subserratus plane block -a case series
Hesham Elsharkawy1,2, Hassan Hamadnalla1, Ece Yamak Altinpulluk1,3
1Department of Outcomes Research Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA.
Korean Journal of Anesthesiology
|February 13, 2020
Summary
Bilateral rhomboid intercostal and subserratus plane (RISS) blocks offer effective postoperative pain relief and high patient satisfaction following major abdominal surgery. This technique shows promise for enhancing surgical recovery and pain management.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Pain Management
Background:
- The rhomboid intercostal and subserratus plane (RISS) block is an emerging interfascial block technique.
- It has demonstrated promising outcomes in thoracic and abdominal surgeries.
- This study focuses on its application after major abdominal surgery.
Purpose of the Study:
- To describe improved analgesia in patients receiving bilateral RISS blocks.
- To evaluate the dermatomal coverage provided by bilateral RISS blocks.
- To assess patient satisfaction with pain management after abdominal surgery.
Main Methods:
- Twenty-one patients undergoing abdominal surgery were included.
- Bilateral RISS blocks were performed, with rhomboid intercostal component at T5-T6 and subserratus component at T6-T9.
- Postoperative analgesia and dermatomal spread were assessed.
Main Results:
- RISS blocks provided effective postoperative analgesia.
- Dermatomal coverage varied, ranging from T3 to T12.
- Patients reported high satisfaction rates with pain management.
Conclusions:
- The RISS block plays a significant role in perioperative pain management for abdominal surgery.
- It serves as a valuable complement to multimodal analgesic strategies.
- Further randomized controlled trials are necessary to definitively establish the efficacy of the RISS block in abdominal surgery.
