Comparative Study Between Ultrasound Guided Rhomboid Intercostal Plane Block and Erector Spinae Plane Block for Post-Operative Analgesia in Video-Assisted Thoracoscopic Operations | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 5, May 2025, Pages 82-87 PDF (521.86 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446558 | ||
| Authors | ||
| Helmy Mahmoud Elsayed Elkawaly1; Essam Shafiq Muhammad Abd El-Wahab2; Islam Sayed Abd El-Hameed Ali* 3 | ||
| 1Professor of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egyp | ||
| 2Assistant Professor of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 3M.Sc. Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Resection of mediastinal tumors and wedges are now possible with the use of video-assisted thoracoscopic surgery (VATS), which has been expanding over the years. After surgery, the lungs can be removed with the help of current VATS, which is widely used. Early ambulation, reduced surgical trauma, and reduced costs are all possible outcomes of the VATS. Aim and objectives: For the purpose of contrasting the two plane blocks—the rhomboid intercostal and the erector spinae—in providing postoperative analgesia during video-assisted thoracoscopic interventions. Patients and methods: This prospective randomized double blinded study was conducted on 60-patients scheduled for VATS at Al-Azhar University Hospitals (Sayed Galal and Al-Hussien), from March 2023 till December 2024. Results: Although there was no statistically significant distinction between the two groups at baseline, the ESPB group's heart rate was significantly lower than the RIB group's at 15 minutes, 30 minutes, 45 minutes, and at the procedure's completion (P-value<0.05). At baseline, there was no significant distinction between the two groups, but after 15 minutes, 30 minutes, 45 minutes, and at the end of the procedure, the ESPB group's mean arterial blood pressure was considerably lower than the RIB group's (P-value<0.05). Conclusion: Pain score, total opioid consumption, time to initial analgesia rescue, and patient satisfaction with RIB's improved hemodynamic stability were all comparable between ESPB and RIB during VATS procedures. | ||
| Keywords | ||
| VATS; RIB; ESPB; Post-operative analgesia | ||
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