Comparison of Rhomboid Intercostal Block, Erector Spinae Plane Block, and Serratus Plane Block on Analgesia for Video‐Assisted Thoracic Surgery: A Prospective, Randomized, Controlled Trial

作者：Jianguo Zhang, Chen‐Wei Jiang, Wei Deng, Fen Liu, Xiao-Ping Wu · 发表于：International Journal of Clinical Practice · 年份：2022 · DOI：10.1155/2022/6924489 · 被引用次数：28 · 研究领域：Anesthesia and Pain Management、Nausea and vomiting management、Pain Management and Opioid Use

Background . Thoracic surgery is one of the most painful surgical steps. An important tool for managing postoperative pain is effective postoperative analgesia. This research aimed at comparing the analgesic roles of three new fascial block techniques in the postoperative period after video‐helped thoracoscopic operation (VATS). Methods . We randomly allocated ninety patients into three teams experiencing ultrasound‐directed serratus plane block, erector spinae plane block, and the rhomboid intercostal block, respectively. 0.4% ropivacaine of 20 mL was received by all groups. Outcomes. At 0–12 hours, sufentanil consumption was significantly lower in the RIB (35.2 ± 3.3 mg) and ESP (35.4 ± 2.8 mg) groups than that in the SAB (43.3 ± 2.7 mg) group ( P < 0.001), and no obvious diversity in sufentanil consumption was shown between the RIB and ESP groups ( P = 0.813). At 12–24 hours, sufentanil consumption was greatly lower in the RIB and ESP groups than that in the SAB group ( P < 0.001), and no great diversity in sufentanil consumption was found between the RIB and ESP groups ( P = 0.589). No great diversity in sufentanil consumption was shown between the RIB (50.4 ± 1.4 mg), ESP (50.4 ± 1.5 mg), and SAB (51.0 ± 1.7 mg) groups at 24–48 hours ( P = 0.192). At 6, 12, 18, and 24 hours, the postoperative dynamic NRS scores were significantly lower in the RIB and ESP groups than in the SAB group (( P < 0.05) for all contrasts). Nevertheless, no great diversity was observed i...