Pain, Postoperative, Spine Disease
Conditions
Keywords
Postoperative Analgesia, Ultrasound guided thoracolumbar interfascial plane block
Brief summary
Ultrasound guided thoracolumbar interfascial plane (TLIP) block was first described in 2015 by Hand et al. TLIP block involves injection of local anesthetics between multifidus and longissimus muscles at the third lumbar vertebra level and can block the dorsal rami of thoracolumbar nerves. In new approach differently, the investigators made the injection between longissimus and iliocostalis muscles with a 15 degree angle from medial to lateral. The aim of this study is to determine effectiveness of ultrasound guided thoracolumbar interfascial plane (TLIP) block in patients undergoing spinal surgery.
Interventions
20 ml %0,25 bupivacaine bilaterally
2 ml saline subcutaneously bilaterally
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologist's physiologic state I-III patients undergoing spinal surgery
Exclusion criteria
* chronic pain * bleeding disorders * renal or hepatic insufficiency * patients on chronic non-steroidal anti-inflammatory medications * emergency cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid Consumption | First 24 hours total opioid consumption | First 24 hours total fentanyl consumption with patient controlled analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog pain score | postoperative first hour | Post operative pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain) at first hour postoperatively |
Countries
Turkey (Türkiye)