Efficacy of ultrasound-guided modified thoracolumbar interfascial plane block for postoperative analgesia after spinal surgery: a randomized-controlled trial

Ahişkalıoğlu, Ali; Yayık, Ahmet Murat; Doymus, Omer; Selvitopi, Kubra; Ahıskalıoğlu, Elif Oral; Çalıkoğlu, Çağatay; Alici, Hacı Ahmet; Karaca, Oğuz

doi:10.1007/s12630-018-1051-0

Cited by 39 publications

(34 citation statements)

References 5 publications

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“…Ahiskalioglu et al 8 applied the modified TLIP block using 40 mL 0.25% bupivacaine (20 mL to each side) in their multilevel lumbar instrumentation surgeries and observed a statistically significant difference in 24 h static and dynamic VAS scores at all time points, in postoperative fentanyl consumption, and in the numbers of patients using rescue analgesia. The authors concluded that the modified TLIP block may represent an important component of multimodal analgesia in vertebral surgery.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of the Modified Thoracolumbar Interfascial Nerve Plane Block on Postoperative Analgesia and Healing Quality in Patients Undergoing Lumbar Disk Surgery: a Prospective, Randomized Study

Özmen¹,

İnce²,

Aksoy³

et al. 2019

MMJ

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Objective: The purpose of this study was to investigate the effect of the modified thoracolumbar interfascial plane block (TLIP) on postoperative analgesia and quality of recovery in patients undergoing lumbar disk surgery. Method: Ninety patients scheduled for lumbar disk surgery were divided into a control group (Group C) and a modified TLIP block group (Group T). Controlled analgesia was administered to both groups. Pain evaluation was performed at 30 min and at 1., 2., 4., 8.,12., and 24. hrs using a VAS scale, with patients at rest and duringand patients completed the QoR-40 quality of recovery inventory. Results: Fentanyl used during postoperative 24 hours was 742.5±220.3 mcg in Group C and 446.0±241.98 in Group T. Postoperative fentanyl consumption was statistically significantly lower in Group T (p<0.001) with a statistically significant intergroup difference. The patient's pain, physical independence, physical comfort, psychological support, and emotional support were compared using the QoR-40 questionnaire survey. Significant differences in favor of Group T were observed (p<0.001, p=0.017, p=0.002, p=0.001 and p<0.001, respectively). Static and dynamic pain scores in Group C and Group T were recorded at 30 min and at 1, 2, 4, 8, 12, and 24 h. Mean static scores were statistically significantly different in favor of Group T with the exception of 8 th and 12 h assessments (p<0.05). Dynamic scores were statistically significantly different in favor of Group T at all time points (p<0.05). Conclusion: Pain scores, opioid consumption and QoR-40 values after lumbar disk surgery were superior in the group undergoing TLIP. We think that the modified TLIP block may be an important method in terms of postoperative analgesia and patient recovery for lumbar spinal disk surgery.

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Section: Discussionmentioning

confidence: 99%

“…We calculated that 78 patients, 39 in each groups, would be required for a 126 mcg difference in fentanyl consumption to be statistically significant at 80% power and a 95% confidence interval when mean fentanyl consumption was 415±231 mcg in the control group and 289±154 mcg in the modified TLIP group 8 .…”

Section: Power Analysismentioning

confidence: 99%

The Effect of the Modified Thoracolumbar Interfascial Nerve Plane Block on Postoperative Analgesia and Healing Quality in Patients Undergoing Lumbar Disk Surgery: a Prospective, Randomized Study

Özmen¹,

İnce²,

Aksoy³

et al. 2019

MMJ

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“…Thoracolumbar interfascial plane block (TLIP block), a novel regional anesthesia technique, was first performed in 2015 (Hand et al, 2015). TLIP block effectively prevents the occurrence of pain via its action on the dorsal rami of spinal nerves (Ahiskalioglu et al, 2018; Xu, 2017; Xu et al, 2019). Gradually, it has become widely used in various surgical procedures.…”

Section: Introductionmentioning

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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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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“…The TLIP block is a novel technique that may provide effective analgesia for lumbar and low back pain. [3,7,[9][10][11][12] It was first described as the classical approach by Hand [3] et al in 2015. In this method, a local anesthetic solution is injected into the interfascial area between the MF and LG muscles at the level of the third lumbar vertebrae.…”

Section: Discussionmentioning

confidence: 99%

A prospective and randomized trial comparing modified and classical techniques of ultrasound-guided thoracolumbar interfascial plane block

Çiftçi

Ekinci

2020

Agri

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Efficacy of ultrasound-guided modified thoracolumbar interfascial plane block for postoperative analgesia after spinal surgery: a randomized-controlled trial

Cited by 39 publications

References 5 publications

The Effect of the Modified Thoracolumbar Interfascial Nerve Plane Block on Postoperative Analgesia and Healing Quality in Patients Undergoing Lumbar Disk Surgery: a Prospective, Randomized Study

The Effect of the Modified Thoracolumbar Interfascial Nerve Plane Block on Postoperative Analgesia and Healing Quality in Patients Undergoing Lumbar Disk Surgery: a Prospective, Randomized Study

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 prospective and randomized trial comparing modified and classical techniques of ultrasound-guided thoracolumbar interfascial plane block

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