Thoracolumbal Interfascial Plane Block Versus Erector Spinae Plane Block for Lumbar Posterior Decompression Stabilization

University of Indonesia (UI)

Status: Unknown

Conditions: Lumbar Posterior Decompression

Treatments: Procedure: Erector Spinae Plane (ESP) Block; Procedure: Thoracolumbar interfacial plane (TLIP) Block

Study type: Interventional

Funder types: Other

Identifiers

NCT04951024

IndonesiaUAnes105

Details and patient eligibility

About

This study aimed to found out The Comparison Of Perioperative Analgesia Effectiveness Between Thoracolumbal Interfascial Plane Block with Erector Spinae Plane Block In Lumbar Posterior Decompression and Stabilization.

Full description

This is a double blind randomized controlled trial. Forty subject will be recruited with non-probability consecutive sampling method. Subjects who meet all inclusion criteria and do not have exclusion criteria will be asked to sign the informed consent form before included in this study. Subjects will be randomized into two groups. The first group is the group who will get Bilateral Thoracolumbal Interfascial Plane Block after general anesthesia and the second group will be the group who will get Bilateral Erector Spinae Plane Block after general anesthesia. After surgery, pain scale, time to first morphine dose, total morphine consumption in 24 hours, cardiovascular stability and adverse events will be recorded for both group.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Age 18 - 65 years old
2. Patients schedule for elective posterior decompression and stabilization lumbar spine surgery
3. ASA I - III
4. Decompression and posterior stabilization's patients who didn't caused by infection or abscess

Exclusion criteria

1. Patients who refuse to participate in this study
2. Body Mass Index < 18,5 kg/m2 and > 27,0 kg/m2
3. Patient with history of chronic opioid
4. Patient with coagulation disorder
5. Patient with cognitive disorders
6. Infection at the injection area

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Thoracolumbar interfacial plane (TLIP) Block

Experimental group

Description:

Thoracolumbar interfacial plane (TLIP) Block will be performed after induction of anesthesia by anesthesiologist who is not part of investigators for this study. Bilateral 20 ml 0.25 % Bupivacaine injected between multifidus and longissimus muscle with Ultrasound guidance.

Treatment:

Procedure: Erector Spinae Plane (ESP) Block

Procedure: Thoracolumbar interfacial plane (TLIP) Block

Erector Spinae Plane (ESP) Block

Active Comparator group

Description:

Erector Spinae Plane (ESP) Block will be performed after induction of anesthesia by anesthesiologist who is not part of investigators for this study. Bilateral 20 ml 0.25 % Bupivacaine injected between the erector spinae muscles and transverse process with Ultrasound guidance

Treatment:

Procedure: Erector Spinae Plane (ESP) Block

Procedure: Thoracolumbar interfacial plane (TLIP) Block