Analgesic efficacy of ultrasound-guided rhomboid intercostal block versus serratus plane block in modified radical mastectomy: a prospective randomized controlled study.

IF 2.9 3区医学 Q1 ANESTHESIOLOGY

Minerva anestesiologica Pub Date : 2024-11-26 DOI:10.23736/S0375-9393.24.18334-4

Dina H Alhassanin, Amr A Elbadry, Hoda A Ezz, Naglaa K Mohamed

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引用次数: 0

Abstract

Background: This research aimed to assess the analgesic efficacy of ultrasound-guided rhomboid intercostal block (RIB) or serratus plane block (SPB) versus IV opioid among modified radical mastectomy (MRM) patients.

Methods: One hundred and five female patients aged 18-65 years with American Society of Anesthesiologists (ASA) physical status II-III scheduled for unilateral MRM were randomly allocated into three equal groups: 1) control group (received IV basal analgesia); 2) SPB group (received ipsilateral SPB); and 3) RIB group (received ipsilateral RIB).

Results: Visual Analogue Scale (VAS) was significantly increased in control group compared to SPB group at Post-Anesthesia Care Unit (PACU) (1 [1-2], 0 [0-1]), 2 h (4 [3-4], 0 [0-1]), and 4 h (3 [3-4], 2 [1-2]) postoperative in control and SPB groups, respectively; and in comparison with RIB group at PACU (0 [0-1]), 2 h (1 [0-1]), 4 h, (1 [1-2]), 6 h (1 [1-2]), and 8 h (2 [1-2]), postoperative. VAS was significantly increased in SPB group at 6 h (4 [3-4]), and 8 h (4 [3.25-4]), compared to RIB group with P<0.0001. Time of first analgesic requirement (minutes) was significantly delayed in RIB (720 [480-720]) and SPB (360 [360-360]) groups in comparison with control group (60 [60-120]) and in RIB group in comparison with SPB group. The total postoperative 24 h morphine consumption (mg) was significantly increased in control group (15.69±1.64) when compared to SPB (9.6±1.42) and RIB (6.51±1.36) groups and in SPB group when compared to RIB group.

Conclusions: Both rhomboid intercostal and serratus anterior plane blocks were efficient for analgesia after modified radical mastectomy. However, RIB had better analgesic efficacy compared to SPB.

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改良根治性乳房切除术中超声引导斜方肌肋间阻滞与锯齿面阻滞的镇痛效果：一项前瞻性随机对照研究。

背景：本研究旨在评估超声引导下斜方肌肋间阻滞（RIB）或锯肌平面阻滞（SPB）与静脉注射阿片类药物在改良根治性乳房切除术（MRM）患者中的镇痛效果：105名年龄在18-65岁之间、美国麻醉医师协会（ASA）身体状况为II-III级、计划接受单侧乳腺癌根治术的女性患者被随机分配到三个相同的小组：1）对照组（接受静脉基础镇痛）；2）SPB组（接受同侧SPB）；3）RIB组（接受同侧RIB）：结果：与SPB组相比，对照组术后1小时（1[1-2]，0[0-1]）、2小时（4[3-4]，0[0-1]）和4小时（3[3-4]，2[1-2]）的视觉模拟量表（VAS）均明显增加，而RIB组术后2小时（4[3-4]，0[0-1]）的视觉模拟量表（VAS）则明显减少；术后 PACU（0 [0-1]）、2 h（1 [0-1]）、4 h（1 [1-2]）、6 h（1 [1-2]）和 8 h（2 [1-2]）与 RIB 组相比。与有 PConclusions 的 RIB 组相比，SPB 组在术后 6 小时（4 [3-4]）和 8 小时（4 [3.25-4]）的 VAS 明显增加：斜方肌肋间阻滞和锯肌前平面阻滞在改良根治性乳房切除术后的镇痛效果都很好。然而，与SPB相比，RIB的镇痛效果更好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva anestesiologica 医学-麻醉学

CiteScore

4.50

自引率

21.90%

发文量

367

审稿时长

4-8 weeks

期刊介绍： Minerva Anestesiologica is the journal of the Italian National Society of Anaesthesia, Analgesia, Resuscitation, and Intensive Care. Minerva Anestesiologica publishes scientific papers on Anesthesiology, Intensive care, Analgesia, Perioperative Medicine and related fields. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors.