The efficacy of rhomboid intercostal block for pain management after video-assisted thoracoscopic surgery: a prospective, randomized-controlled trial

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dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorAlver, Selçuk
dc.contributor.authorGüngör, Hande
dc.contributor.authorGölboyu, Birzat Emre
dc.contributor.authorSubaşı, Mahmut
dc.contributor.authorÖmür, Burak
dc.contributor.authorGül, Yaşar Gökhan
dc.contributor.authorEkinci, Mürsel
dc.date.accessioned2025-11-05T08:04:31Z
dc.date.available2025-11-05T08:04:31Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.description.abstractObjective: We aimed to evaluate the efficacy of rhomboid intercostal block (RIB) for analgesia management in patients who underwent video-assisted thoracoscopic surgery. Methods: Adult patients who underwent VATS under general anesthesia between July 2020 and June 2022 were included in the study. There was two groups in this study: RIB (n = 25) vs control (n = 25) group. RIB was performed with 30 ml 0.25% bupivacaine at the end of the surgery. Surgical intercostal blockade was performed with 30 ml 0.25% bupivacaine in the control group. The patients received intravenous fentanyl patient-controlled postoperative analgesia. The numerical rating score (NRS), opioid consumption, and adverse events were recorded. Results: A total of 50 patients were randomized into 2 groups. There were no significant difference in terms of the demographic data between groups (P > 0.05). Postoperative opioid consumption at 0–8, 8–16, 16–24, and 24–48 h and rescue analgesic use were significantly lower in RIB group (P < 0.05). At all times, the static/dynamic NRS were significantly lower in RIB group. The rate of nausea and itching was higher in control group (P < 0.05). Conclusion: US-guided RIB provides effective post-VATS analgesia.
dc.identifier.citationÇiftçi, B., Alver, S., Güngör, H., Gölboyu, B. E., Subaşı, M., Ömür, B. ... Ekinci, M. (2024). The efficacy of rhomboid intercostal block for pain management after video-assisted thoracoscopic surgery: a prospective, randomized-controlled trial. General Thoracic and Cardiovascular Surgery, 72(12), 779-785. http://dx.doi.org/10.1007/s11748-024-02036-8
dc.identifier.doi10.1007/s11748-024-02036-8
dc.identifier.endpage785
dc.identifier.issn1863-6705
dc.identifier.issn1863-6713
dc.identifier.issue12
dc.identifier.pmid38668898
dc.identifier.scopus2-s2.0-85191736287
dc.identifier.scopusqualityQ2
dc.identifier.startpage779
dc.identifier.urihttp://dx.doi.org/10.1007/s11748-024-02036-8
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13155
dc.identifier.volume72
dc.identifier.wosWOS:001208714000002
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÇiftçi, Bahadır
dc.institutionauthorGüngör, Hande
dc.institutionauthorÖmür, Burak
dc.institutionauthorGül, Yaşar Gökhan
dc.institutionauthorid0000-0002-3245-6614
dc.institutionauthorid0000-0002-8920-1516
dc.institutionauthorid0000-0002-7241-200X
dc.institutionauthorid0000-0001-9531-4317
dc.language.isoen
dc.relation.ispartofGeneral Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectIntercostal Block
dc.subjectPostoperative Analgesia
dc.subjectRhomboid Intercostal Block
dc.subjectVideo-Assisted Thoracic Surgery
dc.titleThe efficacy of rhomboid intercostal block for pain management after video-assisted thoracoscopic surgery: a prospective, randomized-controlled trial
dc.typeArticle

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