Ultrasound Guided Modified Thoracolumbar Interfascial Plane Block for Spinal Surgery: A New Approach
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Opioid Consumption
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologist's physiologic state I-III patients undergoing spinal surgery
排除标准
- •chronic pain
- •bleeding disorders
- •renal or hepatic insufficiency
- •patients on chronic non-steroidal anti-inflammatory medications
- •emergency cases
研究组 & 干预措施
thoracolumbar interfascial plane block
Bilateral ultrasound guided thoracolumbar interfascial plane block with 20 ml %0,25 bupivacaine
干预措施: Bupivacaine (Drug)
sham block
Bilateral ultrasound guided sham block with 2 ml saline subcutaneously
干预措施: Saline (Drug)
结局指标
主要结局
Opioid Consumption
时间窗: First 24 hours total opioid consumption
First 24 hours total fentanyl consumption with patient controlled analgesia
次要结局
- Visual analog pain score(postoperative 24th hour)