Comparison of Thoracolumbar Interfascial Plane Block with the Application of Local Anesthesia in the Management of Postoperative Pain in Patients with Lumbar Disc Surgery

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Bicak M., Aktas U., Salik F., Akelma H., Bicak E. A., Kaya S.

Turkish Neurosurgery, cilt.31, sa.5, ss.757-762, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 5
  • Basım Tarihi: 2021
  • Doi Numarası: 10.5137/1019-5149.jtn.33017-20.2
  • Dergi Adı: Turkish Neurosurgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.757-762
  • Anahtar Kelimeler: Thoracolumbar interfascial plane block, Local anesthesia, Postoperative pain, Lomber disc surgery, GENERAL-ANESTHESIA, WOUND INFILTRATION, ANALGESIA, LEVOBUPIVACAINE
  • Gazi Üniversitesi Adresli: Hayır

Özet

© 2021,Turkish Neurosurgery.All Rights Reserved.AIM: To compare the effect of ultrasound-guided modified thoracolumbar interfascial plane (TLIP) block versus local anesthetic infiltration on the wound site for post-operative analgesia in patients undergoing lumbar disc surgery with spinal anesthesia. MATERIAL and METHODS: This prospective and observationally planned study included 42 patients from the ages of 18 to 75 years, American Society of Anesthesiologists classes I–III, who underwent lumbar disc surgery. In Group L, bupivacaine infiltration visual analogue scale (VAS) values were also investigated and recorded on the 10th day after discharge. Nausea, vomiting, and sedation score values and analgesic doses used by all patients in the postoperative period were recorded. RESULTS: During any of the postoperative follow-up hours, the VAS score was ≤ 3 (mild pain), and those who did not need tramadol were 80.9% (n=17) in Group T and 71.4% (n=15) in Group L. VAS scores at the 1st, 4th, and 8th hours were statistically lower in Group L than those in Group T (p values: 0.011, 0.028, and 0.029). The average amounts of tramadol consumption per patient were determined as 19.04 mg ± 40.23 in Group T and 27.38 ± 44.65 mg in Group L in the first 24 hours postoperatively. There was no statistically significant difference between groups (p=0.519). CONCLUSION: In this study, it was determined that the modified TLIP block application performed for the purpose of post-operative analgesia in lumbar disc surgery was not superior to local anesthetic infiltration in terms of postoperative opioid consumption and VAS scores.