Analgesic efficacy of ultrasound guided bilateral recto-intercostal fascial plane block in adult patients undergoing upper midline incision abdominal surgery: A randomised control trial

Recent regional anaesthestic techniques are: erector spinae , retrolaminar block 3Tulgar et al., in a cadaveric study, described a novel regional block named recto-intercostal facial plane block (RIFPB), in which methylene blue dye was injected bilaterally in a plane between the rectus abdominis muscle and 6th or 7th costal cartilage at a site inferolateral to the xiphoid process. According to them, the injectate dye spreads longitudinally to the anterior cutaneous branches of the T6–T9 nerves and laterally to the entire lower thorax up to the mid-axillary line.4 We aim to evaluate the analgesic effect of ultrasound-guided recto-intercostal fascial plane blockin reducing postoperative (24-hour) opioid consumption in patients undergoing upper abdominal surgery.§  Primary Objective–

To measure Post-operative morphine consumptions in 24 hours.

§  Secondary objective: To evaluate -

1)    Intraoperative fentanyl consumption

2)    Time of first rescue analgesia

3)    Postoperative Pain Score (NRS) at 30 min, 2hour, 4 hour, 8 hour, 12 hour, 24 hour.

4)    Adverse effect