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

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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