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A comparison of the effects of thoracolumbar interfascial plane (TLIP) block and erector spinae plane (ESP) block in postoperative acute pain in spinal surgery.
Dilsiz, Pelin; Sari, Sinem; Tan, Kadir Berkay; Demircioglu, Murat; Topçu, Ismet; Erel, Varlik Kamil; Aydin, Osman Nuri; Turgut, Mehmet.
Afiliación
  • Dilsiz P; Anesthesiology and Reanimation Clinic, Mentese State Hospital, Mugla, Turkey.
  • Sari S; Department of Anesthesiology and Reanimation, Aydin Adnan Menderes University Faculty of Medicine, 09010, Efeler, Aydin, Turkey. sarisinem@yahoo.com.
  • Tan KB; Department of Anesthesiology and Reanimation, Aydin Adnan Menderes University Faculty of Medicine, 09010, Efeler, Aydin, Turkey.
  • Demircioglu M; Department of Anesthesiology and Reanimation, Aydin Adnan Menderes University Faculty of Medicine, 09010, Efeler, Aydin, Turkey.
  • Topçu I; Department of Anesthesiology and Reanimation, Celal Bayar University Faculty of Medicine, Manisa, Turkey.
  • Erel VK; Department of Anesthesiology and Reanimation, Aydin Adnan Menderes University Faculty of Medicine, 09010, Efeler, Aydin, Turkey.
  • Aydin ON; Department of Algology, Aydin Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Turgut M; Department of Neurosurgery, Aydin Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
Eur Spine J ; 33(3): 1129-1136, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38206385
ABSTRACT

PURPOSE:

Spinal surgeries are a very painful procedure. New regional techniques for postoperative pain management are being considered. The present study aimed to evaluate the hypothesis that the ultrasound-guided erector spinae plane (ESP) block would lead to lower opioid consumption compared to the thoracolumbar interfascial plane (TLIP) block after lumbar disk surgery. The study's primary objective was to compare postoperative total opioid consumption, and the secondary objective was to assess postoperative pain scores.

METHODS:

Sixty-eight patients who underwent elective lumbar disk surgery were randomly assigned to either the ESP block group or the TLIP block group. The current pain status of the patients in both the ESP and TLIP block groups was assessed using the Numerical Rating Scale (NRS) at specific time intervals (30 min, 1, 6, 12 and 24 h) during the postoperative period. The number of times patients administered a bolus dose of patient-controlled analgesia, (PCA) within the first 24 h was recorded.

RESULTS:

In the ESP group, the total opioid consumption in terms of morphine equivalents was found to be significantly lower (ESP group 7.7 ± 7.0; TLIP group 13.0 ± 10.1; p < 0.05). The NRS scores were similar between the groups at 30 min, 1, 6, and 12 h, but at 24 h, they were significantly lower in the ESP group. Moreover, the groups had no significant difference regarding observed side effects.

CONCLUSION:

This study demonstrated the analgesic efficacy of both techniques, revealing that the ESP block provides more effective analgesia in patients undergoing lumbar disk surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Agudo / Bloqueo Nervioso Límite: Humans Idioma: En Revista: Eur Spine J Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Agudo / Bloqueo Nervioso Límite: Humans Idioma: En Revista: Eur Spine J Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania