Cardiothoracic & vascular anesthesia
Comparison of the Effects of Combined Rhomboid Intercostal and Sub-Serratus Plane Block versus Rhomboid Intercostal Block on Postoperative Analgesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery for Wedge Resection
Authors' conclusion
In this study with a multimodal analgesic approach, RISS provided superior analgesia compared to RIB in patients undergoing VATS for wedge resection.
Study context
- Population
- ASA I–III patients undergoing video-assisted thoracoscopic surgery (VATS) wedge resection
- Participants
- 60 patients
- Comparison
- RISS vs rhomboid intercostal block (RIB)
Methodological detailsprospective, single-centre
- Prospective
- Single-centre
Primary result
As reported in the abstract
VAS pain scores at rest and with coughing · 0–48 hours
- Lower visual analog scale (VAS) scores at rest and with coughing in the RISS group at all time points except 12 hours
- p < 0.05 at 0 hour and p < 0.01 at 0.5, 1, 2, 4, 8, 24, and 48 hours
Further findings
First patient-controlled analgesia (PCA) demand time
- Significantly longer in the RISS group
- P = 0.001
Morphine consumption via PCA
- Lower in the RISS group at all time points
- P < 0.05 at 0 hours and p < 0.01 at 12, 24, and 48 hours
Recovery room stay and mobilization times
- Shorter in the RISS group
- P < 0.05 for both
Other parameters (incl. rescue analgesic requirements)
- Similar in the 2 groups
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Comparison of the Effects of Combined Rhomboid Intercostal and Sub-Serratus Plane Block versus Rhomboid Intercostal Block on Postoperative Analgesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery for Wedge Resection. J Cardiothorac Vasc Anesth. Published 8 May 2025. doi:10. 1053/ j. jvca. 2025. 05. 003
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