Comparison of the Postoperative Analgesic Efficacy of the Quadro-Iliac Plane Block and the Classical Thoracolumbar Interfascial Plane Block in Single-Level Lumbar Disc Surgery: A Prospective Randomized Controlled Trial
概览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Samsun University
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Opioid consumption
概览
简要总结
The investigators aim to compare the postoperative analgesic efficacy of the classical thoracolumbar interfascial plane block and the Quadro-iliac plane block for postoperative analgesia management after lumbar disc surgery.
详细描述
Lumbar spinal stenosis can lead to variable signs and symptoms such as back pain, radiating pain to the lower extremities, and reduced walking capacity. Lumbar disc surgery itself causes significant pain due to extensive dissection and muscle retraction during the procedure. A multimodal analgesic approach is preferred for postoperative pain management after lumbar spine surgery. The addition of regional anesthesia techniques can reduce opioid-related side effects and is associated with earlier mobilization, shorter hospital stay, and improved patient satisfaction.
For patients undergoing lumbar disc surgery, the classical thoracolumbar interfascial plane (TLIP) block and the Quadro-iliac plane block (QIPB) provide effective analgesia for postoperative pain control.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18-70 years,
- •Classified as ASA physical status I-III,
- •Scheduled to undergo single-level lumbar spinal surgery under general anesthesia
- •Who agree to participate in the study by providing written informed consent
排除标准
- •History of bleeding diathesis or current anticoagulant therapy
- •Known allergy or hypersensitivity to local anesthetics or opioid medications
- •Infection at the planned block injection site
- •Previous lumbar spine surgery
- •History of gabapentinoid or corticosteroid use within the last 3 weeks
- •Inability to use a patient-controlled analgesia (PCA) device
- •Suspected pregnancy, confirmed pregnancy, or breastfeeding
- •Refusal to undergo the procedure or to participate in the study
研究组 & 干预措施
Active Comparator: Group QİPB
The Quadro-iliac plane block will be performed 30 minutes before lumbar spine surgery
干预措施: Quadro-iliac plane block (Other)
Active Comparator: Group TLİP
The classical thoracolumbar interfascial plane (TLIP) block will be performed 30 minutes before lumbar spine surgery.
干预措施: Classical thoracolumbar interfascial plane block (Other)
结局指标
主要结局
Opioid consumption
时间窗: 24 hours
In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups.
次要结局
- Perioperative pain intensity(24 hours)
- Postoperative nausea and vomiting(24 hours)
- Quality of recovery 15 scale(24 hours after surgery)