菱形肌肋间和前锯肌平面阻滞-病例系列。
Rhomboid intercostal and subserratus plane block -a case series.
机构信息
Department of Outcomes Research Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA.
Case Western University, MetroHealth Campus, Cleveland, OH, USA.
出版信息
Korean J Anesthesiol. 2020 Dec;73(6):550-556. doi: 10.4097/kja.19479. Epub 2020 Feb 12.
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.
背景
菱形肋间和肋间下平面（RISS）阻滞是一种新的筋膜间阻滞技术，在腹部和胸部手术中显示出良好的效果。我们的目的是描述在接受腹部大手术后接受双侧 RISS 阻滞的患者中，其镇痛效果和皮区覆盖的改善情况。
病例
21 例接受腹部手术的患者在 T5 到 T6 水平接受了菱形肋间阻滞成分，在 T6 到 T9 水平进行了肋间下阻滞成分。RISS 阻滞提供了有效的术后镇痛。皮区覆盖范围从 T3 到 T12 不等。患者报告疼痛管理满意度高。
结论
RISS 阻滞在腹部手术中似乎在围手术期疼痛管理中发挥了重要作用，补充了多模式镇痛方案。为了确定 RISS 阻滞在腹部手术中的疗效，我们还需要进一步的随机对照试验。
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