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Brief Report

Korean J Pain 2019; 32(2): 129-132

Published online April 1, 2019 https://doi.org/10.3344/kjp.2019.32.2.129

Copyright © The Korean Pain Society.

Efficacy of rhomboid intercostal block for analgesia after thoracotomy

Korgün Ökmen

Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

Correspondence to:Korgün Ökmen, Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Mimar, Sinan Mah. Emniyet Street Yildirim, Bursa 16130, Turkey, Tel: +90-224-295-5000, Fax: +90-224-295-54-97, E-mail: korgunokmen@gmail.com, ORCID: https://orcid.org/0000-0001-8546-4661

Received: November 29, 2018; Revised: January 23, 2019; Accepted: January 24, 2019

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly performed by injection to the upper intercostal muscle plane below the rhomboid muscle. It has been reported to provide analgesia at the T3-T9 levels. The RIB was performed on 5 patients who had been scheduled for thoracotomy. The catheter was advanced in the area under the rhomboid muscle between the intercostal muscles. Postoperative visual analog scale (VAS) scores were observed and each patient's resting VAS score remained below 3 for 48 hours. The RIB has been observed to be a convenient plane block for post-thoracotomy analgesia. We believe that further information from detailed studies is required.

Keywords: Analgesia, Catheters, Fascia, Intercostal muscle, Thoracotomy, Pain management, Pain measurement, Postoperative pain, Ribs, Rhomboid major muscle, Visual analog scale.