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Updated: Dec 26, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
BRILMA block for costal cartilage excision: Case report.
T Silva Pereira1, C Rodrigues Silva1, N F Veiga2
1Departamento de Anestesiología, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
The ultrasound-guided block of the lateral branches of the intercostal nerves in the middle axillary line (BRILMA) offers effective pain relief for thoracic surgery. This technique provides a safe and easily reproducible alternative for postoperative analgesia.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Pain Management
Background:
- The block of the lateral branches of the intercostal nerves in the middle axillary line (BRILMA) is an interfascial ultrasound-guided block.
- It is used for analgesia in thoracic wall and upper abdominal surgery.
- BRILMA presents as an adequate alternative to neuraxial techniques.
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