Thoracolumber Oterfacial Plane Block for Spine Surgery (TLIP)

Mansoura University

Status: Unknown

Conditions: Spine Surgeries

Treatments: Drug: Bupivacaine 0.5% injected in the thoraco-lumber inetrfacial plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT03060681

TLIP

Details and patient eligibility

About

The most commonly used technique to anesthetize patients scheduled for thoracic or lumbar spine surgery is general anesthesia. Analgesic techniques vary from the use of neuraxial techniques like epidural, intrathecal, or caudal analgesia, nerve root infiltration to the use of systemic opioids, Paracetamol, non-steroidal anti-inflammatory drugs (NSAID), steroids and gabapentinoids .

In 2015, a promising regional analgesia technique was reported, that targets the dorsal, rather than ventral, rami of the thoracolumbar nerves as they pass through the paraspinal musculature, and called this a thoracolumbar interfacial plane block (TLIP).

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients scheduled for Spine surgery.

Exclusion criteria

• Spine deformities, redo surgeries, patients refusing being enrolled in the study, and patients with a bleeding tendency (INR˃ 1.4 and or Platelet count ≤ 150 X103/ µl) will be excluded.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

T group

Experimental group

Description:

Ultrasound guided Bilateral TLIP Block will be performed 15 minute before the start of surgery Using 15 ml of bupivacaine 0.25 for each side.

Treatment:

Drug: Bupivacaine 0.5% injected in the thoraco-lumber inetrfacial plane block

C group

No Intervention group