Indian Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 64  |  Issue : 11  |  Page : 949--953

Ultrasound guided rhomboid intercostal block: A pilot study to assess its analgesic efficacy in paediatric patients undergoing video-assisted thoracoscopy surgery


Amarjeet Kumar1, Chandni Sinha2, Poonam Kumari2, Ajeet Kumar2, Amit Kumar Sinha3, Bindey Kumar3 
1 Department of Trauma and Emergency, AIIMS, Patna, Bihar, India
2 Department of Anaesthesia, AIIMS, Patna, Bihar, India
3 Department of Pediatric Surgery, AIIMS, Patna, Bihar, India

Correspondence Address:
Dr. Chandni Sinha
Additional Professor, Department of Anaesthesia, AIIMS OT Complex, AIIMS, Patna, Bihar
India

Background and Aims: Ultrasound guided rhomboid intercostal plane block (RIB) is a relatively new regional anaesthesia technique that has shown to provide dermatomal coverage from T2-9 on the whole anterior and posterior hemithorax. It has proved effective in providing preemptive analgesia in various surgeries like mastectomy and thoracotomy. The aim of the study was to study the efficacy of RIB in paediatric patients: 7 to 12 years undergoing thoracoscopic surgeries in terms of analgesic requirement, pain scores and adverse effects. Methods: In this randomised, prospective double-blind study, 40 American Society of Anesthesiologists I/II patients, of the age group 7-12 years scheduled for Video-assisted thoracoscopy (VATS) surgery were recruited. The patients were allocated to one of the two groups: group R: general anaesthesia + RIB (RIB group) and group F: general anaesthesia (FENT group). Perioperative opioid consumption and postoperative pain scores were recorded. Adverse effects like respiratory depression and nausea were also noted. Results: Patients in group R required less intraoperative fentanyl dose (1.45 ± 0.65 vs 2.90 ± 0.45) (P < 0.05). Postoperative opioid consumption was also less in this group R (2.90 ± 0.91 vs 5.56 ± 1.08) (P < 0.05). Less number of patients experienced nausea (2 vs 6) and respiratory depression (2 vs 7) in group R. Conclusion: Ultrasound guided RIB reduces perioperative opioid consumption in patients undergoing VATS surgery with lesser postoperative pain scores.


How to cite this article:
Kumar A, Sinha C, Kumari P, Kumar A, Sinha AK, Kumar B. Ultrasound guided rhomboid intercostal block: A pilot study to assess its analgesic efficacy in paediatric patients undergoing video-assisted thoracoscopy surgery.Indian J Anaesth 2020;64:949-953


How to cite this URL:
Kumar A, Sinha C, Kumari P, Kumar A, Sinha AK, Kumar B. Ultrasound guided rhomboid intercostal block: A pilot study to assess its analgesic efficacy in paediatric patients undergoing video-assisted thoracoscopy surgery. Indian J Anaesth [serial online] 2020 [cited 2020 Nov 28 ];64:949-953
Available from: https://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=11;spage=949;epage=953;aulast=Kumar;type=0