Lumbar Disc Herniation, Pain, Postoperative, Regional Aneshesia
Conditions
Keywords
postoperative pain, opioid consumption, Pain management, nerve blocks, QoR-15
Brief summary
to compare ultrasonography (USG)-guided intertransverse process block and modified thoracolumbar interfascial plan (mTLIP) block in the treatment of postoperative pain in patients undergoing lumbar disc herniation surgery under general anesthesia.
Interventions
PROCEDUREmodified thoracolumbar interfacial plan block (mTLIP)
Injecting local anesthetic at L3 vertebral level between the longisimus and iliocostalis muscles within the erector spinae muscles.
PROCEDUREIntertransverse process block (ITP)
injection of local anesthetic on the superior costotransverse ligament between the transverse process and the pleura.
Sponsors
Zonguldak Bulent Ecevit University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* 18-75 years old * ASA I-II-III risk group * Patients whose consent was obtained with an informed consent form * Patients who will undergo lumbar disc herniation surgery
Exclusion criteria
* Patients who refused to participate in the study * Allergic to local anesthetics * Patients with coagulopathy * Infection at the site of intervention * Patients under 18 years of age * Patients with ASA score IV and above * Chronic pain disorders * Those with neurological or neuromuscular disease * Patients with psychiatric problems * Patients with a history of opioid use * Chronic use of NSAIDs * Those contraindicated for regional anesthesia * Patients with a history of opioid use * Chronic analgesic use
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative opioid consumption | up to 24 hours after surgery | total amount of opioids consumed in 24 hours postoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain scores | up to 24 hours after surgery | Patients will be evaluated at regular intervals after surgery and their pain will be measured using a numerical rating scale. |
| incidence of nausea and vomiting | up to 24 hours after surgery | nausea and vomiting of postoperative patients will be evaluated |
| Quality of Recovery-15 scale | 24 hours after surgery | The quality of recovery of patients will be assessed with the quality of recovery 15 questionnaire. |
Countries
Turkey (Türkiye)
Outcome results
None listed