BRILMA block for costal cartilage excision: Case report
The block of the lateral branches of the intercostal nerves in the middle axillary line (BRILMA) is an interfascial ultrasound-guided block for analgesia in thoracic wall and upper abdominal surgery, presenting as an adequate alternative to neuraxial techniques. We present the case of a 49-year-old...
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| Veröffentlicht in: | Revista española de anestesiología y reanimación 2020-05, Vol.67 (5), p.271-274 |
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| container_title | Revista española de anestesiología y reanimación |
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| creator | Silva Pereira, T Rodrigues Silva, C Veiga, N F Alfaro de la Torre, P Kabiri-Sacramento, M |
| description | The block of the lateral branches of the intercostal nerves in the middle axillary line (BRILMA) is an interfascial ultrasound-guided block for analgesia in thoracic wall and upper abdominal surgery, presenting as an adequate alternative to neuraxial techniques. We present the case of a 49-year-old female scheduled for idiopathic subglottic stenosis repair with a costal cartilage graft from the 10
rib and tracheotomy. At the end of the surgery, unilateral ultrasound-guided BRILMA block with 20ml of ropivacaine 0.2% was performed at the level of the 6
rib, uneventfully. Postoperatively, the patient referred a maximum level of pain of 3/10. There was no opioid consumption after the 2
postoperative day, although a subcostal incision may produce considerable pain. BRILMA is a superficial block, easily reproducible in most patients. It diminishes the number of punctures needed in the thoracic wall, as well as the risk for pneumothorax and local anesthetic toxicity. |
| doi_str_mv | 10.1016/j.redar.2020.01.009 |
| format | Article |
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rib and tracheotomy. At the end of the surgery, unilateral ultrasound-guided BRILMA block with 20ml of ropivacaine 0.2% was performed at the level of the 6
rib, uneventfully. Postoperatively, the patient referred a maximum level of pain of 3/10. There was no opioid consumption after the 2
postoperative day, although a subcostal incision may produce considerable pain. BRILMA is a superficial block, easily reproducible in most patients. It diminishes the number of punctures needed in the thoracic wall, as well as the risk for pneumothorax and local anesthetic toxicity.</description><identifier>EISSN: 2340-3284</identifier><identifier>EISSN: 2341-1929</identifier><identifier>DOI: 10.1016/j.redar.2020.01.009</identifier><identifier>PMID: 32143823</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Anesthetics, Local - administration & dosage ; Costal Cartilage - surgery ; Female ; Humans ; Intercostal Muscles - innervation ; Intercostal Nerves - anatomy & histology ; Intermediate Back Muscles ; Laryngostenosis - surgery ; Middle Aged ; Nerve Block - methods ; Pain, Postoperative - drug therapy ; Ropivacaine - administration & dosage ; Surgical Flaps</subject><ispartof>Revista española de anestesiología y reanimación, 2020-05, Vol.67 (5), p.271-274</ispartof><rights>Copyright © 2020 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32143823$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silva Pereira, T</creatorcontrib><creatorcontrib>Rodrigues Silva, C</creatorcontrib><creatorcontrib>Veiga, N F</creatorcontrib><creatorcontrib>Alfaro de la Torre, P</creatorcontrib><creatorcontrib>Kabiri-Sacramento, M</creatorcontrib><title>BRILMA block for costal cartilage excision: Case report</title><title>Revista española de anestesiología y reanimación</title><addtitle>Rev Esp Anestesiol Reanim</addtitle><description>The block of the lateral branches of the intercostal nerves in the middle axillary line (BRILMA) is an interfascial ultrasound-guided block for analgesia in thoracic wall and upper abdominal surgery, presenting as an adequate alternative to neuraxial techniques. We present the case of a 49-year-old female scheduled for idiopathic subglottic stenosis repair with a costal cartilage graft from the 10
rib and tracheotomy. At the end of the surgery, unilateral ultrasound-guided BRILMA block with 20ml of ropivacaine 0.2% was performed at the level of the 6
rib, uneventfully. Postoperatively, the patient referred a maximum level of pain of 3/10. There was no opioid consumption after the 2
postoperative day, although a subcostal incision may produce considerable pain. BRILMA is a superficial block, easily reproducible in most patients. It diminishes the number of punctures needed in the thoracic wall, as well as the risk for pneumothorax and local anesthetic toxicity.</description><subject>Anesthetics, Local - administration & dosage</subject><subject>Costal Cartilage - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intercostal Muscles - innervation</subject><subject>Intercostal Nerves - anatomy & histology</subject><subject>Intermediate Back Muscles</subject><subject>Laryngostenosis - surgery</subject><subject>Middle Aged</subject><subject>Nerve Block - methods</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Ropivacaine - administration & dosage</subject><subject>Surgical Flaps</subject><issn>2340-3284</issn><issn>2341-1929</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tKw0AYRgdBbKl9AkFm6Sbxv2RycVeL1UJEEF2HmelEUtNOnElB317Fejbf5vDBEeICIUXA_HqbBrfRISUgSAFTgOpETIkzSJjKbCLmMW7hh1wBZepMTJgw45J4Korb53X9uJCm9_Zdtj5I6-Ooe2l1GLtevznpPm0XO7-_kUsdnQxu8GE8F6et7qObH3cmXld3L8uHpH66Xy8XdTIQ4pho4tahMZapahFKsGWbK4WmZLPJqSQwXFlF1qBmCworRlMoV7jcVAAtz8TV3-8Q_MfBxbHZddG6vtd75w-xIS4yRvXbMxOXR_Vgdm7TDKHb6fDV_MfyN-n3VF4</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Silva Pereira, T</creator><creator>Rodrigues Silva, C</creator><creator>Veiga, N F</creator><creator>Alfaro de la Torre, P</creator><creator>Kabiri-Sacramento, M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202005</creationdate><title>BRILMA block for costal cartilage excision: Case report</title><author>Silva Pereira, T ; Rodrigues Silva, C ; Veiga, N F ; Alfaro de la Torre, P ; Kabiri-Sacramento, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-a23fe1bbc329f1080c8f6551b83bd62820b39c52cb1a3c051931b75e7e6b900f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2020</creationdate><topic>Anesthetics, Local - administration & dosage</topic><topic>Costal Cartilage - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intercostal Muscles - innervation</topic><topic>Intercostal Nerves - anatomy & histology</topic><topic>Intermediate Back Muscles</topic><topic>Laryngostenosis - surgery</topic><topic>Middle Aged</topic><topic>Nerve Block - methods</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Ropivacaine - administration & dosage</topic><topic>Surgical Flaps</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva Pereira, T</creatorcontrib><creatorcontrib>Rodrigues Silva, C</creatorcontrib><creatorcontrib>Veiga, N F</creatorcontrib><creatorcontrib>Alfaro de la Torre, P</creatorcontrib><creatorcontrib>Kabiri-Sacramento, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista española de anestesiología y reanimación</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva Pereira, T</au><au>Rodrigues Silva, C</au><au>Veiga, N F</au><au>Alfaro de la Torre, P</au><au>Kabiri-Sacramento, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>BRILMA block for costal cartilage excision: Case report</atitle><jtitle>Revista española de anestesiología y reanimación</jtitle><addtitle>Rev Esp Anestesiol Reanim</addtitle><date>2020-05</date><risdate>2020</risdate><volume>67</volume><issue>5</issue><spage>271</spage><epage>274</epage><pages>271-274</pages><eissn>2340-3284</eissn><eissn>2341-1929</eissn><abstract>The block of the lateral branches of the intercostal nerves in the middle axillary line (BRILMA) is an interfascial ultrasound-guided block for analgesia in thoracic wall and upper abdominal surgery, presenting as an adequate alternative to neuraxial techniques. We present the case of a 49-year-old female scheduled for idiopathic subglottic stenosis repair with a costal cartilage graft from the 10
rib and tracheotomy. At the end of the surgery, unilateral ultrasound-guided BRILMA block with 20ml of ropivacaine 0.2% was performed at the level of the 6
rib, uneventfully. Postoperatively, the patient referred a maximum level of pain of 3/10. There was no opioid consumption after the 2
postoperative day, although a subcostal incision may produce considerable pain. BRILMA is a superficial block, easily reproducible in most patients. It diminishes the number of punctures needed in the thoracic wall, as well as the risk for pneumothorax and local anesthetic toxicity.</abstract><cop>Spain</cop><pmid>32143823</pmid><doi>10.1016/j.redar.2020.01.009</doi><tpages>4</tpages></addata></record> |
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| ispartof | Revista española de anestesiología y reanimación, 2020-05, Vol.67 (5), p.271-274 |
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| language | eng ; spa |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Anesthetics, Local - administration & dosage Costal Cartilage - surgery Female Humans Intercostal Muscles - innervation Intercostal Nerves - anatomy & histology Intermediate Back Muscles Laryngostenosis - surgery Middle Aged Nerve Block - methods Pain, Postoperative - drug therapy Ropivacaine - administration & dosage Surgical Flaps |
| title | BRILMA block for costal cartilage excision: Case report |
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