An alternative plane block for multiple rib fractures: Rhomboid Intercostal and Sub-Serratus block (RISS)

Rib fractures are a common injury, which occur after severe blunt chest trauma. Sufficient and early pain control is essential to avoid respiratory complications. In recent years, the serratus plane and the erector spinae plane blocks have been used in ED for pain related to rib fractures. The Rhomb...

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Bibliographic Details
Published in:The American journal of emergency medicine 2019-12, Vol.37 (12), p.2263.e5-2263.e7
Main Authors: Yayik, Ahmet Murat, Aydin, Muhammed Enes, Tekin, Erdal, Ulas, Ali Bilal, Ahiskalioglu, Ali
Format: Article
Language:English
Subjects:
Aged
Anesthetics, Local - administration & dosage
Emergency medical care
Female
Fractures
Humans
Intercostal Nerves
Male
Middle Aged
Nerve Block - methods
Pain
Pain Management - methods
Pain Measurement
Patients
Plane block
Rhomboid Intercostal and Sub-Serratus
Rib
Rib cage
Rib fracture
Rib Fractures - drug therapy
Ribs
Trauma
Ultrasonic imaging
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Summary:Rib fractures are a common injury, which occur after severe blunt chest trauma. Sufficient and early pain control is essential to avoid respiratory complications. In recent years, the serratus plane and the erector spinae plane blocks have been used in ED for pain related to rib fractures. The Rhomboid Intercostal and Sub-Serratus (RISS) block can be utilized for pain control in patients with multiple rib fractures. We report two cases of patients with multiple rib fractures in which pain reduction was achieved with application of the RISS block.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2019.158429