Erector Spinae Plane Block, Lumbar Laminectomy, Postoperative Pain, Thoracolumbar Interfascial Plane Block, Ultrasound
Conditions
Brief summary
The aim of this prospective randomized trial is to compare the efficacy ultrasound guided thoracolumbar interfascial plane block versus bilateral ultrasound guided erector spinae plane block for post-operative pain management after lumbar laminectomy
Interventions
PROCEDUREThoracolumbar Interfascial Plane Block (TLIP)
(20ml) (plain bupivacaine 0.25% on each side toward the LG-MF interface.
PROCEDUREBilateral Erector Spinae plane Block (ESB)
Will receive (20ml) (plain bupivacaine 0.25% injected beneath the erector spinae muscle sheath) at the level of the eighth thoracic segment (T8).
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Seventy cases with herniated lumbar disc scheduled for lumbar single-level or multiple-level lumbar discectomy with American Society of Anesthesiologists physical status (ASA) I or II aged between 21 and 60 years of both genders.
Exclusion criteria
1. Body mass index \>32 2. History of relevant allergy to any of the drugs used in the procedure 3. Previous lumbar spine surgery or back surgery with planed spinal fixation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of pain by visual Analog Scale (VAS) score at rest | First 24 hours postoperative | Pain scores will be observed and recorded using the Visual Analog Scale (VAS) both at rest and during movement. The scores will be recorded in the ward at 2, 4, 8, 12, and 24 h. VAS score from 0 to 10 (0: No pain, 10: The worst pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total rescue analgesics consumption | First 24 hours postoperative | — |
| The time to first analgesic | First 24 hours postoperative | — |
| 24-h morphine consumption | First 24 hours postoperative | — |
| Side effects associated with morphine | First 24 hours postoperative | — |
| Degree of pain by visual Analog Scale (VAS) score at movement | First 24 hours postoperative | Pain scores will be observed and recorded using the Visual Analog Scale (VAS) both at rest and during movement. The scores will be recorded in the ward at 2, 4, 8, 12, and 24 h VAS score from 0 to 10 (0: No pain, 10: The worst pain) |
Countries
Egypt
Outcome results
None listed