Comparison of ultrasound-guided thoracolumbar interfascial plane block versus wound infiltration for postoperative analgesia after single-level discectomy

İnce, İlker; Atalay, Canan; Özmen, Özgür; Öztürk, Vedat; Hassan, Mohd Hasyizan; Aksoy, Mehmet; Çalıkoğlu, Çağatay

doi:10.1016/j.jclinane.2019.01.017

Cited by 17 publications

(21 citation statements)

References 5 publications

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“…However, significant side effects and the risk of long-term habituation has limited its use. Reducing both perioperative opioid requirements and postoperative pain is one of the goals of enhanced recovery after surgery (Ince et al, 2019). TLIP block, which blocks the dorsa rami of thoracolubar nerves, has recently been reported as a useful method for preoperative anesthesia in some cases, such as multilevel lumbar spinal surgery (Ueshima, Oku & Otake, 2016a; Ueshima, Sakai & Otake, 2016b).…”

Section: Discussionmentioning

confidence: 99%

“…A study has confirmed the loss of sensory block is 217+84.7 cm 2 at 20 min after injection at the lower back 10 (Hand et al, 2015). As the dorsal rami of the spinal nerves innervate the paraspinal muscles and posterior bony elements of the spine (Ince et al, 2019), the LA may spread to the fascial plane between the MF and LFs of the thoracolumbar spine and exert its analgesic effect via the dorsal rami of the spinal nerves at multiple levels (Fig. 2).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of ultrasound-guided lateral thoracolumbar interfascial plane block for postoperative analgesia in lumbar spine fusion surgery: a prospective, randomized, and controlled clinical trial

Chen

Wang

Meng

et al. 2019

PeerJ

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ObjectiveUltrasound-guided lateral thoracolumbar interfascial plane block (US-TLIP block) is a novel regional technique for anesthesia or analgesia. However, there has been no prospective, randomized and controlled clinical trial investigating the perioperative analgesic effect of US-TLIP block on lumbar spinal fusion surgery. The aim of this study was to investigate the analgesic effect of bilateral single-shot US-TLIP in patients undergoing lumbar spinal fusion surgery.MethodsA prospective and randomized comparative clinical study was conducted. A total of 60 patients (ASA classes: I–II), aged 21–74 years who were scheduled for lumbar spinal fusion surgery were randomized and divided into the TLIP group (Group T, n = 30) and control group (Group C, n = 30). The patients in Group T received preoperative bilateral single-shot US-TLIP with 30 ml of 0.375% ropivacaine at the third lumbar spine (L3) vertebral level, and the patients in Group C received an injection of 30 ml 0.9% saline through same technique. All patients received patient-controlled analgesia (PCA) after their operation. The frequency of PCA compressions and rescue analgesic administrations were recorded. Opioids (sufentanil and remifentanil), anesthetic consumption, the number of postoperative days spent in a hospital bed, overall hospital stay time and postoperative complications were recorded. The Visual Analogue Scale (VAS) and Bruggemann Comfort Scale (BCS) scores for pain and comfort assessment were recorded at 1, 12, 24, 36, and 48 hours postoperatively.ResultsOpioids and anesthetic consumption in the perioperative period decreased significantly in the TLIP group compared to the control group (P < 0.05). The VAS and BCS scores in the TLIP group were lower at 12, 24, and 36 hours postoperatively (P < 0.05). US-TLIP block has been shown to shorten postoperative hospital stays (P < 0.05). There was no significant difference in postoperative complications between the two groups.ConclusionOur study findings show that bilateral US-TLIP block exhibits significant analgesia and safety in patients undergoing lumbar spinal fusion surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of ultrasound-guided lateral thoracolumbar interfascial plane block for postoperative analgesia in lumbar spine fusion surgery: a prospective, randomized, and controlled clinical trial

Chen

Wang

Meng

et al. 2019

PeerJ

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“…In a study, Ince et al [21] compared the efficacy of USguided TLIP block and wound infiltration for postoperative analgesia following single-level discectomy surgery. They reported that wound infiltration is a simple method compared with TLIP block and it is an effective technique for acute pain management after lumbar discectomy.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Ultrasound-Guided modified-Thoracolumbar Interfascial Plane Block and Wound Infiltration for Postoperative Pain Management in Lumbar Spinal Surgery Patients

Ekinci

Çiftçi

Çelik

et al. 2019

Agri

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A comparison of the ultrasound-guided modified-thoracolumbar interfascial plane block and wound infiltration for postoperative pain management in lumbar spinal surgery patients Lomber spinal cerrahi yapılan hastalarda postoperatif analjezi yönetimi için ultrason eşliğinde yapılan modifiye-torakolomber interfasiyal plan bloğu ve yara yeri infiltrasyonunun karşılaştırılması: Prospektif, randomize çalışma

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“…Reducing both perioperative opioid requirements and postoperative pain is one of the goals of enhanced recovery after surgery (Ince et al 2019). TLIP block, which blocks the dorsa rami of thoracolubar nerves, has recently been reported as a useful method for preoperative anesthesia in some cases, such as multilevel lumbar spinal surgery (Ueshima et al 2016a;Ueshima et al 2016b).…”

Section: Discussionmentioning

confidence: 99%

“…A study has confirmed the loss of sensory block is 217+84.7 cm 2 at 20 minutes after injection at the lower back 10 (Hand et al 2015). As the dorsal rami of the spinal nerves innervate the paraspinal muscles and posterior bony elements of the spine (Ince et al 2019), the LA may spread to the fascial plane between the MF and LFs of the thoracolumbar spine and exert its analgesic effect via the dorsal rami of the spinal nerves at multiple levels ( Figure 2). Compared with TLIP block, erector spinae plane block (ESPB) inject local anesthetic into a deeper site.…”

Section: Discussionmentioning

confidence: 99%

Peer Review #1 of "Evaluation of ultrasound-guided lateral thoracolumbar interfascial plane block for postoperative analgesia in lumbar spine fusion surgery: a prospective, randomized, and controlled clinical trial (v0.1)"

2019

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Ultrasound-guided lateral thoracolumbar interfascial plane block (US-TLIP block) is a novel regional technique for anesthesia or analgesia. However, there has been no prospective, randomized and controlled clinical trial investigating the perioperative analgesic effect of US-TLIP block on lumbar spinal fusion surgery. The aim of this study was to investigate the analgesic effect of bilateral single-shot US-TLIP in patients undergoing lumbar spinal fusion surgery. Methods. A prospective and randomized comparative clinical study was conducted. A total of 60 patients (ASA classes: I-II), aged 21-74 years who were scheduled for lumbar spinal fusion surgery were randomized and divided into the TLIP group (Group T, n=30) and control group (Group C, n=30). The patients in Group T received preoperative bilateral single-shot US-TLIP with 30 ml of 0.375% ropivacaine at the third lumbar spine (L3) vertebral level, and the patients in Group C received an injection of 30 ml 0.9% saline through same technique. All patients received patientcontrolled analgesia (PCA) after their operation. The frequency of PCA compressions and rescue analgesic administrations were recorded. Opioids (sufentanil and remifentanil), anesthetic consumption, the number of postoperative days spent in a hospital bed, overall hospital stay time and postoperative complications were recorded. The Visual Analogue Scale (VAS) and Bruggemann Comfort Scale (BCS) scores for pain and comfort assessment were recorded at 1, 12, 24, 36, and 48 hours postoperatively. Results. Opioids and anesthetic consumption in the perioperative period decreased significantly in the TLIP group compared to the control group (P<0.05). The VAS and BCS scores in the TLIP group were lower at 12, 24, and 36 hours postoperatively (P<0.05). US-TLIP block has been shown to shorten postoperative hospital stays (P<0.05). There was no significant

show abstract

Comparison of ultrasound-guided thoracolumbar interfascial plane block versus wound infiltration for postoperative analgesia after single-level discectomy

Cited by 17 publications

References 5 publications

Evaluation of ultrasound-guided lateral thoracolumbar interfascial plane block for postoperative analgesia in lumbar spine fusion surgery: a prospective, randomized, and controlled clinical trial

Evaluation of ultrasound-guided lateral thoracolumbar interfascial plane block for postoperative analgesia in lumbar spine fusion surgery: a prospective, randomized, and controlled clinical trial

A Comparison of Ultrasound-Guided modified-Thoracolumbar Interfascial Plane Block and Wound Infiltration for Postoperative Pain Management in Lumbar Spinal Surgery Patients

Peer Review #1 of "Evaluation of ultrasound-guided lateral thoracolumbar interfascial plane block for postoperative analgesia in lumbar spine fusion surgery: a prospective, randomized, and controlled clinical trial (v0.1)"

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