RT Journal Article
SR Electronic
T1 Investigation of the analgesic efficacy of ultrasound-guided thoracolumbar interfacial plane block in vertebral surgery
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1136
OP 1141
DO 10.15537/smj.2022.43.10.20220467
VO 43
IS 10
A1 Tapar, Hakan
A1 Demir, Özgür
A1 Genç, Ali
A1 Balta, Mehtap G.
A1 Kölükçü, Vildan
A1 Karaman, Tugba
A1 Dogru, Serkan
A1 Karaman, Serkan
A1 Suren, Mustafa
YR 2022
UL http://smj.org.sa/content/43/10/1136.abstract
AB Objectives: To investigate the effect of thoracolumbar interfacial plane block (TLIP) on analgesic consumption and pain score in vertebral surgery.Methods: All patients (64 patients undergoing vertebral surgery) were randomly allocated as Group T (patients with block, n=32) and Group C (patients without block, n=32). After surgery, patient-controlled analgesia using tramadol was administered to all patients. Pain intensity was evaluated with visual analogue scale (VAS; recovery room at 1, 2, 6, 12, and 24 hours postoperative), and as rescue analgesia, morphine was administered to patients with VAS scores of >4. In this study, total tramadol consumption, the number of patients requiring morphine, VAS score, and Quality of Recovery-40 of all patients questionnaire was evaluated.Results: There were important differences between the 2 groups according to mean postoperative tramadol consumption (Group T and Group C; 180 mg [100-260] vs. 210 mg [100-300]; p=0.001) and the number of patients requiring additional analgesia (n=4; 12.5% vs. n=24; 75%, p=0.000). There were important differences between the 2 groups according to the postoperative VAS pain score (p=0.000).Conclusion: Ultrasound-TLIP reduces analgesic consumption and pain severity after vertebral surgery. Therefore, it is an important regional analgesia technique.ClinicalTrials.gov Grant No.: NCT04548076