Rhomboid Intercostal and Subserratus Plane Block in Multiple Rib Fractures and Thoracoabdominal Tumor – One for All: A Case Series

The rhomboid intercostal block and the rhomboid intercostal subserratus block are novel blocks. These provide effective postoperative analgesia for a myriad of indications. It surpasses previous blocks by being away from the surgical site which soothes any fear of the surgeon – a possibility of infection at the site and also difficulty of postoperative catheter maintenance. The landmarks of this block are very lucid and understood easily. It is relatively a very safe block with rib acting as a safe barrier as well as a landmark. The catheter of the site does not interfere with patients’ routine activity, thus increasing overall patient satisfaction. The authors discuss five cases in which RISS proved immensely effective in relieving pain from rib fractures and postoperative. Furthermore, details of the block including anatomical site, dermatomal coverage, and USG images are discussed. It has proved to be a boon for all patients offering an excellent analgesia. Rhomboid intercostal subserratus plane block is an excellent option for providing adequate postoperative analgesia for thoracoabdominal surgeries as well as patients with multiple rib fractures. More reporting of cases and randomized trials are needed to confirm the same.