Ultrasound Guided Modified Thoracolumbar Interfascial Plane Block for Spinal Surgery

Phase 4

Completed

• Conditions: Spine Disease; Pain, Postoperative
• Interventions: Drug: Saline; Drug: Bupivacaine

• Registration Number: NCT03079076
• Lead Sponsor: Ataturk University

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-03-06
• Study First Submitted QC: 2017-03-08
• Study First Posted: 2017-03-14
• Study Start: 2017-03-15
• Status Verified: 2017-05
• Primary Completion: 2017-05-16
• Last Update Submitted: 2017-05-16
• Study Completion: 2017-05-17
• Last Update Posted: 2017-05-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
sham block	Saline	Bilateral ultrasound guided sham block with 2 ml saline subcutaneously
thoracolumbar interfascial plane block	Bupivacaine	Bilateral ultrasound guided thoracolumbar interfascial plane block with 20 ml %0,25 bupivacaine

Primary Outcome Measures

Name	Time	Method
Opioid Consumption	First 24 hours total opioid consumption	First 24 hours total fentanyl consumption with patient controlled analgesia

Secondary Outcome Measures

Name	Time	Method
Visual analog pain score	postoperative 24th 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 24th hour postoperatively

Trial Locations

Locations (1)

Ataturk University; 🇹🇷 Erzurum, Turkey