Degenerative lumbar spine surgery who required open spine surgery. thoracolumbar interfascial plane block, wound infiltration, postoperative pain control, spine surgery, multimodal analgesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who plan to undergo up to three levels of open lumbar spine surgery 2. Age over 18 years 3. ASA physical status 1-3
Exclusion criteria
Exclusion criteria: 1. Refuse to participate 2. Previous lumbar spine surgery 3. Spinal infection, spinal trauma and spinal metastasis 4. Allergy to study drugs; paracetamol, fentanyl, morphine, ketorolac, or bupivacaine 5. PNB contraindications include skin infection at the block site and coagulopathy 6. Body weight < 40 kg 7. Inability to cooperate, communicate, or report pain scores.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative morphine consumption at PACU, 6h, 12h,24h and 48h total morphine consumption (mg) from IV PCA device | — |
Secondary
| Measure | Time frame |
|---|---|
| postoperative pain score at PACU, 6h, 12h, 24h, and 48h Numeric rating pain score (patient self-report their pain intensity using 11-point scale from 0-10) | — |
Countries
Thailand
Contacts
Faculty of Medicine, Khon Kaen University