USG Thoracolumbar Interfascial Plane (TLIP) in Lumbar Spine Surgeries

• Status: Completed
• Trial end date: 2018-08-01
• Target enrollment: 0
• Participant gender: All

Summary

The study aims to evaluate the effect of US guided bilateral Thoracolumbar Interfascial plane (TLIP) block performed at the level of the lumbar spine surgery (involving 1 up to 3 adjacent lumbar vertebrae) after induction of general anesthesia and before starting the surgery on postoperative opioid consumption by the patients during the first 24 hours postoperative.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Eslam Ayman Mohamed Shawki
• Treatments: Analgesics, Opioid

Criteria

Inclusion Criteria:

• Adult patients undergoing lumbar spine surgeries involving 1 up to 3 adjacent lumbar vertebrae (eg. laminectomy, discectomy …).

Exclusion Criteria:

• Patients on preoperative opioid regimen for more than 1 month.

• Patients with history of previous surgical operations in the lumbar region.

• Patients with spinal deformities (eg. Scoliosis…..).

• Hypersensitivity to Bupivacaine.

• Extensive Lumbar spine surgeries like large tumour excisions, scoliosis correction or more than 2 level spine fixation.

• Patients with communication difficulties.

• Lumbar spine operations that will be performed with the patient in any position other than the prone position.

• Severe neurological compromise (severe muscle weakness such as foot drop or sphincter disorders such as urinary incontinence).

• Coagulopathies with prothrombin concentration less than 60% or INR more than 1.5.

• In-ability to postpone anti-coagulation medications.

• Infection, injury or a lesion at the block site.

• ASA class 3 and 4 patients.