Rhomboid intercostal and subserratus plane block -a case series.

Korean J Anesthesiol

Department of Anesthesiology, University of California, San Diego, San Diego, CA, USA.

Published: December 2020

AI Article Synopsis

  • The rhomboid intercostal and subserratus plane (RISS) block is a novel pain management technique that has shown effective analgesia in patients undergoing major abdominal surgery.
  • Patients receiving bilateral RISS blocks experienced a wide range of dermatomal coverage from T3 to T12, leading to high satisfaction in pain relief.
  • Further research, including randomized control trials, is necessary to fully assess the RISS block's efficacy in perioperative pain management for abdominal surgeries.

Article Abstract

Background: The rhomboid intercostal and subserratus plane (RISS) block is a new interfascial block technique that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe the improved analgesia and dermatomal coverage in patients who received bilateral RISS blocks after a major abdominal surgery.

Case: Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the T5 to T6 levels, and the subserratus component block was performed at the T6 to T9 levels.The RISS blocks provided effective postoperative analgesia. There was a variation in the dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management.

Conclusions: The RISS block in abdominal surgery seems to have an important role in perioperative pain management, complementing the multimodal analgesic regimen. To determine the efficacy of the RISS block for abdominal surgery, we need further randomized control trials.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714629PMC
http://dx.doi.org/10.4097/kja.19479DOI Listing

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