Modified Thoracolumbar Interfascial Plane Block Versus Erector Spinae Plane Block For Enhancement Of Quality of Recovery After Lumbar Spine Surgery: A Prospective Randomized Controlled Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Quality of Recovery (QOR)
研究概览
简要总结
Aim of study The objective of the current study is to compare the efficacy of ultrasound-guided bilateral modified thoracolumbar interfascial plane (TLIP) block versus erector spinae (ES) block in optimizing early quality of recovery (QOR) following lumbar spine surgery under general anesthesia.
详细描述
Lumbar spine surgery, a common surgical procedure to alleviate spinal stenosis or disc herniation, is often associated with significant postoperative pain that can hinder early recovery and patient satisfaction. Effective pain management is critical to improve the quality of recovery (QOR), reducing complications, and facilitating early mobilization (1). Regional anesthesia techniques, such as nerve blocks, have gained popularity as part of multimodal analgesia strategies to minimize opioid use and enhance postoperative outcomes. Among these, the thoracolumbar interfascial plane (TLIP) block and the erector spinae (ES) block have emerged as promising ultrasound-guided techniques for managing pain after lumbar spine surgeries (2).
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient scheduled for elective lumbar spine fixation 2-3 levels.
- •American Society of Anesthesiologists(ASA) class I-III.
排除标准
- •1. Obese patients (Body Mass Index> 35).
- •Patients with neurological deficits, cardiopulmonary disease, hepatic or renal impairment.
- •3. Patients with history of severe allergies to local anesthetics or other medications used during the procedure.
- •4. Patients with history of coagulation disorder or anticoagulants.
- •Patients with emergency surgeries or re-do surgeries.
- •Patients with systemic infections or infections at the site of injection.
- •Patients with Psychiatric illnesses.
- •Patients with history of drug addiction
研究组 & 干预措施
Espb
干预措施: Modified Thoracolumbar Interfascial Plane Block (Procedure)
Tlib
干预措施: Modified Thoracolumbar Interfascial Plane Block (Procedure)
结局指标
主要结局
Quality of Recovery (QOR)
时间窗: 24 hours postoperatively
Assessed using the QOR-15 questionnaire at 24 hours postoperatively
次要结局
未报告次要终点