Thoracolumbar Interfascial Plane Block Versus Bilateral Erector Spinae Plane Block In Lumbar Laminectomy

Tanta University70 enrolled

Overview

The aim of this prospective randomized trial is to compare the efficacy ultrasound guided thoracolumbar interfascial plane block versus bilateral ultrasound guided erector spinae plane block for post-operative pain management after lumbar laminectomy

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Postoperative Pain Lumbar Laminectomy Thoracolumbar Interfascial Plane Block Erector Spinae Plane Block Ultrasound

Interventions

Thoracolumbar Interfascial Plane Block (TLIP)PROCEDURE

(20ml) (plain bupivacaine 0.25% on each side toward the LG-MF interface.

Bilateral Erector Spinae plane Block (ESB)PROCEDURE

Will receive (20ml) (plain bupivacaine 0.25% injected beneath the erector spinae muscle sheath) at the level of the eighth thoracic segment (T8).

Eligibility

Sex: ALLMin age: 21 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Seventy cases with herniated lumbar disc scheduled for lumbar single-level or multiple-level lumbar discectomy with American Society of Anesthesiologists physical status (ASA) I or II aged between 21 and 60 years of both genders. Exclusion Criteria: 1. Body mass index \>32 2. History of relevant allergy to any of the drugs used in the procedure 3. Previous lumbar spine surgery or back surgery with planed spinal fixation

Locations (1)

Tanta University Hospitals

Tanta, ElGharbiaa, Egypt

Outcomes

Primary Outcomes

Degree of pain by visual Analog Scale (VAS) score at rest

Pain scores will be observed and recorded using the Visual Analog Scale (VAS) both at rest and during movement. The scores will be recorded in the ward at 2, 4, 8, 12, and 24 h. VAS score from 0 to 10 (0: No pain, 10: The worst pain)