Efficiency of Thoracolumbar Interfascial Plane Block in Lumbar Disk Surgery
Status:
Unknown status
Trial end date:
2017-12-11
Target enrollment:
Participant gender:
Summary
Objectives:Lomber disc hernia is one of the most common diseases in Turkey. The prevalence in
various studies is between 60-80% and incidence is between 1-3% for the entire
population,Goal of TLIP is to provide a same impact in the thoracolumbar region, like
thoracoabdominal plane block (TAP) diminish the pain in the abdominal surgery Methods: The
study design was approved by the locale ethics committee. This double-blinded, randomized,
controlled clinical trial recruited 50 patients who were candidated for surgical operations
on lumbar disc hernia surgery. . Patients will be divided into two groups as Group T (TLIP
block) and Group E (Epidural group).In group T, TLIP block will be applied before anesthesia
and surgery and evaluate block efficiency with temperature discrimination and pin-prick test.
During the TLIP block, block fluid will have total volume of 20 mL of 0.5% bupivacaine.). In
Group E, after surgery, total of 20 ml of 0.1% bupivacaine and 50 mcg of fentanyl will be
performed in the epidural space with direct vision by the surgeon.For the postoperative
analgesia, patient controlled analgesia device will be administered as 20 mg/h continue dose
tramadol and administered 10 mg bolus dose tramadol if patient need a rescue dose.
Nausea-vomiting, tramadol consumption, bolus dose intervention and visual analog scale value
in the postoperative 0-4., 4-12., and 12-24. hour interval will be assess and results will be
record.