Original Articles
Evaluation of efficacy of the Thoracolumbar interfascial plane block after spinal surgeries | |
Dr. Mamta Sharma, Dr. Anil Sharma | |
Background: The present study was undertaken for evaluating the efficacy of the TLIP block after spinal surgeries. Materials & methods: A total of 100 patients o of either sex from 18-60 years of age of ASA grade of 1 and II scheduled to undergo elective lumbar spinal surgeries were enrolled. All the patients were randomized into two study groups with 50 patients in each group- TLIP group and control group. Completed demographic and clinical details of all the patients was obtained. VAS score was sued for evaluation of pain at different time intervals on a scale of 0 to 10 with 0 indicating no pain and 10 indicating severe unbearable pain. Time to first analgesia (TFA) was noted and the total amount of morphine consumption at the end of 24 hours given was also recorded. Results: While comparing the VAS among the two study groups at post-anaesthesia care unit, post-operative 2 hours and post-operative 6 hours, significant results were obtained. Mean time of first analgesic requirement (minutes) among the patients of the Group TLIP and control Group was 216.3 minutes and 62.8 minutes respectively. Mean time of first analgesic requirement (minutes) was significantly higher among the patients of the Group TLIP in comparison to the Control Group. Significant results were obtained while comparing the quantity of morphine consumption at different time intervals and total morphine consumed at 24 hours in between the two study groups. Conclusion: TLIP block is a superficial, easy block which is a viable option for awake endoscopic discectomies. TLIP block will be the analgesic option of choice for postoperative analgesia after multi-level lumbar laminectomies as well there by reducing the need for opioids in these patients. |
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