Overview

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.