Publication:
Can rhomboid intercostal block be an alternative to paravertebral block in video-assisted thoracoscopic surgery? A randomized prospective study

dc.contributor.coauthorElsharkawy, Hesham
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorDilege, Şükrü
dc.contributor.kuauthorGürkan, Yavuz
dc.contributor.kuauthorManici, Mete
dc.contributor.kuauthorSalgın, Belitsu
dc.contributor.kuauthorSöğüt, Muhammet Selman
dc.contributor.kuauthorTanju, Serhan
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2025-03-06T20:57:55Z
dc.date.issued2024
dc.description.abstractBackground/Objectives: Rhomboid intercostal block (RIB) is a new interfascial plane block. RIB is a simple and clinically effective technique. Paravertebral block (PVB) is offered as a first-line regional anesthesia technique for thoracoscopic surgeries. In this study, we aim to compare the analgesic efficacy of RIB to PVB in video-assisted thoracoscopic surgeries (VATSs). Methods: This is a prospective randomized study with 84 patients aged 18-75 and ASA I-III, undergoing VATS for primary lung cancer. The study was approved by an ethical committee and registered under clinicaltrials.org. With informed consent, patients were randomized to receive ultrasound-guided RIB or PVB at T5-level with 20 mL of %0.25 bupivacaine preoperatively. Surgeries were performed under general anesthesia. Postoperatively, patient-controlled IV fentanyl analgesia was prescribed, delivering 10 mu g boluses upon request with 10 min of a lock-out period. Patients received paracetamol 1 g IV three times a day and tramadol 50 mg IV for breakthrough pain. The postoperative Numeric Rating Scale (NRS) for pain, total opioid consumption, and rescue analgesic requirements were recorded postoperatively at 1, 3, 6, 12, and 24 h. Results: There were no significant differences in 24 h total opioid consumption between the RIB and PVB groups [PVB: 48.5 (39.5-55) mcg;RIB: 48.6 (40.2-65) mcg;p = 0.258], nor in rescue analgesic requirements [PVB: seven patients (20%);RIB: seven patients (17.1%);p = 0.570]. NRS pain scores were also similar between the groups, with no significant difference in overall pain control efficacy (p = 0.833). Conclusions: RIB is comparable to PVB in analgesic efficacy for VATS and can be considered as an alternative analgesic modality.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.identifier.doi10.3390/diagnostics14192129
dc.identifier.eissn2075-4418
dc.identifier.issue19
dc.identifier.quartileQ1
dc.identifier.scopus2-s2.0-85206571178
dc.identifier.urihttps://doi.org/10.3390/diagnostics14192129
dc.identifier.urihttps://hdl.handle.net/20.500.14288/27352
dc.identifier.volume14
dc.identifier.wos1335826900001
dc.keywordsInterfascial blocks
dc.keywordsRhomboid intercostal block
dc.keywordsVats
dc.keywordsPostoperative analgesia
dc.language.isoeng
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.relation.ispartofDIAGNOSTICS
dc.subjectMedicine
dc.titleCan rhomboid intercostal block be an alternative to paravertebral block in video-assisted thoracoscopic surgery? A randomized prospective study
dc.typeJournal Article
dspace.entity.typePublication
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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