A comparison of the effects of thoracolumbar interfascial plane (TLIP) block and erector spinae plane (ESP) block in postoperative acute pain in spinal surgery

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dc.contributor.authorDilsiz P.
dc.contributor.authorSari S.
dc.contributor.authorTan K.B.
dc.contributor.authorDemircioğlu M.
dc.contributor.authorTopçu İ.
dc.contributor.authorErel V.K.
dc.contributor.authorAydin O.N.
dc.contributor.authorTurgut M.
dc.date.accessioned2024-07-22T08:01:37Z
dc.date.available2024-07-22T08:01:37Z
dc.date.issued2024
dc.description.abstractPurpose: Spinal surgeries are a very painful procedure. New regional techniques for postoperative pain management are being considered. The present study aimed to evaluate the hypothesis that the ultrasound-guided erector spinae plane (ESP) block would lead to lower opioid consumption compared to the thoracolumbar interfascial plane (TLIP) block after lumbar disk surgery. The study's primary objective was to compare postoperative total opioid consumption, and the secondary objective was to assess postoperative pain scores. Methods: Sixty-eight patients who underwent elective lumbar disk surgery were randomly assigned to either the ESP block group or the TLIP block group. The current pain status of the patients in both the ESP and TLIP block groups was assessed using the Numerical Rating Scale (NRS) at specific time intervals (30 min, 1, 6, 12 and 24 h) during the postoperative period. The number of times patients administered a bolus dose of patient-controlled analgesia, (PCA) within the first 24 h was recorded. Results: In the ESP group, the total opioid consumption in terms of morphine equivalents was found to be significantly lower (ESP group: 7.7 ± 7.0; TLIP group: 13.0 ± 10.1; p < 0.05). The NRS scores were similar between the groups at 30 min, 1, 6, and 12 h, but at 24 h, they were significantly lower in the ESP group. Moreover, the groups had no significant difference regarding observed side effects. Conclusion: This study demonstrated the analgesic efficacy of both techniques, revealing that the ESP block provides more effective analgesia in patients undergoing lumbar disk surgery. © The Author(s) 2024.
dc.identifier.DOI-ID10.1007/s00586-023-08097-2
dc.identifier.issn09406719
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/11518
dc.language.isoEnglish
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.rightsAll Open Access; Hybrid Gold Open Access
dc.subjectAcute Pain
dc.subjectAnalgesia, Patient-Controlled
dc.subjectAnalgesics, Opioid
dc.subjectAnesthetics, Local
dc.subjectHumans
dc.subjectNerve Block
dc.subjectPain, Postoperative
dc.subjectPostoperative Period
dc.subjectUltrasonography, Interventional
dc.subjectbupivacaine
dc.subjectdiclofenac
dc.subjectfentanyl
dc.subjectlidocaine
dc.subjectondansetron
dc.subjectparacetamol
dc.subjectpethidine
dc.subjectpropofol
dc.subjectremifentanil
dc.subjectrocuronium
dc.subjectsodium chloride
dc.subjecttramadol
dc.subjectlocal anesthetic agent
dc.subjectnarcotic analgesic agent
dc.subjectadd on therapy
dc.subjectadult
dc.subjectArticle
dc.subjectcomparative study
dc.subjectconstipation
dc.subjectcontrolled study
dc.subjectdouble blind procedure
dc.subjectechography
dc.subjectelective lumbar disk surgery
dc.subjectelective surgery
dc.subjecterector spinae plane block
dc.subjectfemale
dc.subjecthuman
dc.subjecthypothesis
dc.subjectintraoperative pain
dc.subjectlumbar disk
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmiddle aged
dc.subjectmorphine equivalent dose
dc.subjectnerve block
dc.subjectnumeric rating scale
dc.subjectoperation duration
dc.subjectpain
dc.subjectpain assessment
dc.subjectpatient controlled analgesia
dc.subjectpostoperative analgesia
dc.subjectpostoperative nausea
dc.subjectpostoperative pain
dc.subjectpostoperative period
dc.subjectpostoperative vomiting
dc.subjectpruritus
dc.subjectrandomized controlled trial
dc.subjectspine surgery
dc.subjectthoracolumbar interfascial plane block
dc.subjectinterventional ultrasonography
dc.subjectpain
dc.subjectpostoperative pain
dc.subjectprocedures
dc.titleA comparison of the effects of thoracolumbar interfascial plane (TLIP) block and erector spinae plane (ESP) block in postoperative acute pain in spinal surgery
dc.typeArticle

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