Thoracolumbar Interfacial Plane Block for Analgesia After Spine Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- postoperative morphine consumption in milligrams
研究概览
简要总结
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients scheduled for Spine surgery.
排除标准
- •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.
研究组 & 干预措施
T group
Ultrasound guided Bilateral TLIP Block will be performed 15 minute before the start of surgery Using 15 ml of bupivacaine 0.25 for each side.
干预措施: Bupivacaine 0.5% injected in the thoraco-lumber inetrfacial plane block (Drug)
结局指标
主要结局
postoperative morphine consumption in milligrams
时间窗: for the 1st 24 hours after surgery
morphine consumption (mg)required to keep visual anlohue scale below 4 in the 1st 24 hours after surgery
次要结局
未报告次要终点
研究者
AlRefaey Kandeel
lecturer of anesthesia
Mansoura University