Ultrasound Guided Modified Thoracolumbar Interfascial Plane Block for Spinal Surgery (TLIP)

Ataturk University

Status and phase: Completed; Phase 4

Conditions: Pain, Postoperative; Spine Disease

Treatments: Drug: Bupivacaine; Drug: Saline

Study type: Interventional

Funder types: Other

Identifiers

NCT03079076

AUTF ANESTHESIA4

Details and patient eligibility

About

Ultrasound guided thoracolumbar interfascial plane (TLIP) block was first described in 2015 by Hand et al. TLIP block involves injection of local anesthetics between multifidus and longissimus muscles at the third lumbar vertebra level and can block the dorsal rami of thoracolumbar nerves. In new approach differently, the investigators made the injection between longissimus and iliocostalis muscles with a 15 degree angle from medial to lateral.

The aim of this study is to determine effectiveness of ultrasound guided thoracolumbar interfascial plane (TLIP) block in patients undergoing spinal surgery.

Enrollment: 40 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologist's physiologic state I-III patients undergoing spinal surgery

Exclusion criteria

• chronic pain
• bleeding disorders
• renal or hepatic insufficiency
• patients on chronic non-steroidal anti-inflammatory medications
• emergency cases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups, including a placebo group

thoracolumbar interfascial plane block

Active Comparator group

Description:

Bilateral ultrasound guided thoracolumbar interfascial plane block with 20 ml %0,25 bupivacaine

Treatment:

Drug: Bupivacaine

sham block

Placebo Comparator group

Description:

Bilateral ultrasound guided sham block with 2 ml saline subcutaneously

Treatment:

Drug: Saline