Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial

Ezzat Eltaher, Nihal Nasr, Mohamed E Abuelnaga, Yassmin Elgawish Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Suez Canal University, Ismailia, EgyptCorrespondence: Mohamed E AbuelnagaDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medici...

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Autores principales:	Eltaher E, Nasr N, Abuelnaga ME, Elgawish Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	tlip block postoperative pain spine surgery. Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/082a11c3880349508021bc4c7a4780fb
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spelling	oai:doaj.org-article:082a11c3880349508021bc4c7a4780fb2021-11-04T19:00:26ZEffect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial1178-7090https://doaj.org/article/082a11c3880349508021bc4c7a4780fb2021-11-01T00:00:00Zhttps://www.dovepress.com/effect-of-ultrasound-guided-thoracolumbar-interfascial-plane-block-on--peer-reviewed-fulltext-article-JPRhttps://doaj.org/toc/1178-7090Ezzat Eltaher, Nihal Nasr, Mohamed E Abuelnaga, Yassmin Elgawish Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Suez Canal University, Ismailia, EgyptCorrespondence: Mohamed E AbuelnagaDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Suez Canal University, The Ring Road, P.O. Box 41522, Ismailia, EgyptTel +2001004150671Fax +20643208543Email Mohamed_abuelnga@med.suez.edu.egBackground: Thoracolumbar interfascial plane (TLIP) block was recently described as a regional anesthetic technique to achieve analgesia for lumbar spine surgery by blocking the dorsal rami of spinal nerves. The study aims to test the hypothesis that TLIP block can offer pain control and reduce the perioperative analgesic requirement in patients undergoing spinal surgery.Methods: There were 60 patients scheduled for lumbar spine surgery who were randomly assigned into two equal groups, TLIP and control groups. Patients in the TLIP group received general anesthesia and TLIP block while patients in the control group received general anesthesia alone. The primary outcome was the analgesic consumption in the first postoperative 24 hours, while intraoperative additional analgesic needs, time to the first request of postoperative analgesia, and pain scores were the secondary outcomes.Results: At 24 hours postoperatively, morphine consumption was lower in the TLIP group (5.13± 1.55) versus the control group (14.33± 2.58) mg. The intraoperative fentanyl consumption was lower in the TLIP group (15± 35.11 mcgs) versus the control group (105± 62.08 mcgs). Postoperative first request for analgesia was delayed in the TLIP group (7.30± 2.69 h) compared to the control group (0.92± 1.23 h). Postoperative Pain scores at rest were 2.53 ± 0.97 and 3.43 ± 0.50 at 24 hours in the TLIP group and the control group, respectively. Postoperative Pain scores at passive flexion of spine were 2.73 ± 0.87 and 3.93 ± 0.78 at 24 hours in the TLIP group and the control group, respectively. Patients in the TLIP group had lower perioperative hemodynamic responses to surgical stimulation in comparison to the control group.Conclusion: Combined TLIP block with general anesthesia in patients undergoing spinal surgery reduced both postoperative and intraoperative analgesic needs, reduced intra-operative hemodynamic response to surgery, and achieved good postoperative pain control.Keywords: TLIP block, postoperative pain, spine surgeryEltaher ENasr NAbuelnaga MEElgawish YDove Medical Pressarticletlip blockpostoperative painspine surgery.Medicine (General)R5-920ENJournal of Pain Research, Vol Volume 14, Pp 3465-3474 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tlip block postoperative pain spine surgery. Medicine (General) R5-920
spellingShingle	tlip block postoperative pain spine surgery. Medicine (General) R5-920 Eltaher E Nasr N Abuelnaga ME Elgawish Y Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial
description	Ezzat Eltaher, Nihal Nasr, Mohamed E Abuelnaga, Yassmin Elgawish Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Suez Canal University, Ismailia, EgyptCorrespondence: Mohamed E AbuelnagaDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Suez Canal University, The Ring Road, P.O. Box 41522, Ismailia, EgyptTel +2001004150671Fax +20643208543Email Mohamed_abuelnga@med.suez.edu.egBackground: Thoracolumbar interfascial plane (TLIP) block was recently described as a regional anesthetic technique to achieve analgesia for lumbar spine surgery by blocking the dorsal rami of spinal nerves. The study aims to test the hypothesis that TLIP block can offer pain control and reduce the perioperative analgesic requirement in patients undergoing spinal surgery.Methods: There were 60 patients scheduled for lumbar spine surgery who were randomly assigned into two equal groups, TLIP and control groups. Patients in the TLIP group received general anesthesia and TLIP block while patients in the control group received general anesthesia alone. The primary outcome was the analgesic consumption in the first postoperative 24 hours, while intraoperative additional analgesic needs, time to the first request of postoperative analgesia, and pain scores were the secondary outcomes.Results: At 24 hours postoperatively, morphine consumption was lower in the TLIP group (5.13± 1.55) versus the control group (14.33± 2.58) mg. The intraoperative fentanyl consumption was lower in the TLIP group (15± 35.11 mcgs) versus the control group (105± 62.08 mcgs). Postoperative first request for analgesia was delayed in the TLIP group (7.30± 2.69 h) compared to the control group (0.92± 1.23 h). Postoperative Pain scores at rest were 2.53 ± 0.97 and 3.43 ± 0.50 at 24 hours in the TLIP group and the control group, respectively. Postoperative Pain scores at passive flexion of spine were 2.73 ± 0.87 and 3.93 ± 0.78 at 24 hours in the TLIP group and the control group, respectively. Patients in the TLIP group had lower perioperative hemodynamic responses to surgical stimulation in comparison to the control group.Conclusion: Combined TLIP block with general anesthesia in patients undergoing spinal surgery reduced both postoperative and intraoperative analgesic needs, reduced intra-operative hemodynamic response to surgery, and achieved good postoperative pain control.Keywords: TLIP block, postoperative pain, spine surgery
format	article
author	Eltaher E Nasr N Abuelnaga ME Elgawish Y
author_facet	Eltaher E Nasr N Abuelnaga ME Elgawish Y
author_sort	Eltaher E
title	Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial
title_short	Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial
title_full	Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial
title_fullStr	Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial
title_full_unstemmed	Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial
title_sort	effect of ultrasound-guided thoracolumbar interfascial plane block on the analgesic requirements in patients undergoing lumbar spine surgery under general anesthesia: a randomized controlled trial
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/082a11c3880349508021bc4c7a4780fb
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Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial

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