Ultrasound-guided thoracolumbar interfascial plane block for spine surgery

Kumar, Amarjeet; Sinha, Chandni; Kumar, Ajeet; Bhadani, Umesh Kumar

doi:10.4103/1658-354x.203052

Cited by 8 publications

(5 citation statements)

References 3 publications

(4 reference statements)

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“…Kumar et al . [ 15 ] presented a case report of TLIP block after a single level of lumbar discectomy at L3–L4. The block was administered following the induction of general anesthesia, with no additional intraoperative analgesic needs.…”

Section: Discussionmentioning

confidence: 99%

Analgesic efficacy of two different volumes of local anaesthetics in ultrasound-guided modified approach to the thoracolumbar interfascial plane block in patients undergoing lumbar spine surgeries: a randomized controlled trial

Abdelhamid,

Ayman,

Nabil

et al. 2023

ait

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Background There is a lack of clarity regarding the ideal local anaesthetic volume for modified thoracolumbar interfascial plane (mTLIP) block. This study was designed to investigate the analgesic efficacy of two different volumes of bupivacaine 0.25% (20 mL, and 10 mL) for ultrasound-guided mTLIP block in patients undergoing lumbar spine surgeries. Methods A total of 80 patients received single shot of bilateral mTLIP block at the mid- level of the operative intervention and were randomly allocated into one of the two groups to receive either 10 or 20 mL 0.25% bupivacaine on each side. Total morphine consumption in the first 24 hours postoperative was set as the primary outcome. Time to first rescue analgesia and Numeric Rating Scale (NRS) were set as secondary outcomes. Results There was no significant difference in the primary outcome: 6.20 ± 2.18 mg (10 mL Group) vs. 5 ± 0.00 mg (20 mL Group), P = 0.056. The time of first request of rescue morphine was significantly shorter in 10 mL Group (7.80 ± 3.98 hours) as compared to the 20 mL Group (13.23 ± 3.00 hours), P < 0.001. NRS at rest and movement in all time measurements was significantly higher in 10 mL Group. Conclusions Bilateral mTLIP block using 40 mL of 0.25% bupivacaine (20 mL on each side) increased the postoperative total analgesic duration for lumbar spine surgeries, and was associated with a lower postoperative pain scores compared to 20 mL of 0.25% bupivacaine (10 mL on each side). Clinical trial registration ID The study was registered at clinicaltrials.gov (ID: NCT 05276908) before patient’s enrolment.

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Section: Discussionmentioning

confidence: 99%

Analgesic efficacy of two different volumes of local anaesthetics in ultrasound-guided modified approach to the thoracolumbar interfascial plane block in patients undergoing lumbar spine surgeries: a randomized controlled trial

Abdelhamid,

Ayman,

Nabil

et al. 2023

ait

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“… 14 , 15 In addition to systemic analgesics, neuro-axial regional anesthetic techniques such as subarachnoid, epidural, or paravertebral blocks can be used for postoperative pain management. 16 Ultrasound-guided TLIP block has been recently described in several studies for acute pain management after lumbar spinal surgery 17 as well as a possibility for management of chronic low back pain. 18 , 19 It is much safer and easily performed because it is administered more superficially.…”

Section: Discussionmentioning

confidence: 99%

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

El-Taher¹,

Nasr²,

Abuelnaga³

et al. 2021

JPR

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“…Examples of these include: QL block,[ 12 13 ] retrolaminar block,[ 14 15 ] erector spinae block,[ 16 17 18 19 20 21 22 23 24 ] and thoracolumbar interfacial plane block. [ 25 26 27 28 ] The use of regional anaesthesia for spine surgery is new; therefore, little research exists about the optimal block and/or volume. A case series of three patients receiving continuous erector spinae blocks for lumbar spine surgery reported that rescue analgesia with opioids was only needed within the 1 st h post-operatively.…”

Section: Discussionmentioning

confidence: 99%

Continuous quadratus lumborum block as post-operative strategy for pain control in spinal fusion surgery

Wilton¹,

Chiu²,

Codianne³

et al. 2020

Indian J Anaesth

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Ultrasound-guided thoracolumbar interfascial plane block for spine surgery

Cited by 8 publications

References 3 publications

Analgesic efficacy of two different volumes of local anaesthetics in ultrasound-guided modified approach to the thoracolumbar interfascial plane block in patients undergoing lumbar spine surgeries: a randomized controlled trial

Analgesic efficacy of two different volumes of local anaesthetics in ultrasound-guided modified approach to the thoracolumbar interfascial plane block in patients undergoing lumbar spine surgeries: a randomized controlled trial

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

Continuous quadratus lumborum block as post-operative strategy for pain control in spinal fusion surgery

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