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Thoracolumber Oterfacial Plane Block for Spine Surgery

Not Applicable
Conditions
Spine Surgeries
Interventions
Registration Number
NCT03060681
Lead Sponsor
Mansoura University
Brief Summary

The most commonly used technique to anesthetize patients scheduled for thoracic or lumbar spine surgery is general anesthesia. Analgesic techniques vary from the use of neuraxial techniques like epidural, intrathecal, or caudal analgesia, nerve root infiltration to the use of systemic opioids, Paracetamol, non-steroidal anti-inflammatory drugs (NSAID), steroids and gabapentinoids .

In 2015, a promising regional analgesia technique was reported, that targets the dorsal, rather than ventral, rami of the thoracolumbar nerves as they pass through the paraspinal musculature, and called this a thoracolumbar interfacial plane block (TLIP).

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Patients scheduled for Spine surgery.
Exclusion Criteria
  • Spine deformities, redo surgeries, patients refusing being enrolled in the study, and patients with a bleeding tendency (INR˃ 1.4 and or Platelet count ≤ 150 X103/ µl) will be excluded.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
T groupBupivacaine 0.5% injected in the thoraco-lumber inetrfacial plane blockUltrasound guided Bilateral TLIP Block will be performed 15 minute before the start of surgery Using 15 ml of bupivacaine 0.25 for each side.
Primary Outcome Measures
NameTimeMethod
postoperative morphine consumption in milligramsfor the 1st 24 hours after surgery

morphine consumption (mg)required to keep visual anlohue scale below 4 in the 1st 24 hours after surgery

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mansoura university

🇪🇬

Mansoura, Dakahleya, Egypt

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