The perioperative analgesic effects of thoracolumbar interfacial block and erector spinae plane block for open lumbar fusion: a randomized controlled trial
OBJECTIVE: The purpose of this study is to compare the pain reduction effectiveness of thoracolumbar interfascial plane (TLIP) block with erector spinae plane (ESP) block for open lumbar fusion. MATERIALS AND METHODS: From October 2021 to October 2022, 100 patients participated in a randomized pros...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Practical Medicine Publishing House
2025-01-01
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| Series: | Вестник интенсивной терапии |
| Subjects: | |
| Online Access: | https://intensive-care.ru/index.php/acc/article/view/683 |
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| Summary: | OBJECTIVE: The purpose of this study is to compare the pain reduction effectiveness of thoracolumbar interfascial plane (TLIP) block with erector spinae plane (ESP) block for open lumbar fusion. MATERIALS AND METHODS: From October 2021 to October 2022, 100 patients participated in a randomized prospective intervention study at Hanoi Medical University Hospital. The patients were randomly assigned to three groups: the control group (group C, n = 33), the TLIP group (group T, n = 34), and the ESP group (group E, n = 33). The pain status of the patients in three groups was assessed using the intraoperative mean Analgesia Nociception Index (ANIm), postoperative the Numerical Rating Scale (NRS) at rest and on movement at 1, 2, 4, 8, 12, 24 hour safter surgery. The intraoperative fentanyl and morphine consumption at 12 and 24 hour postoperatively were recorded. RESULTS: the ANIm of group C was the lowest at most of the time points studied during surgery (p < 0.05). Group E consumed the least fentanyl intraoperatively (p < 0.001). The postoperative NRS at rest and on movement was lowest in group E and highest in group C (p < 0.05). At 12 hours and 24 hours following surgery, group E's morphine consumption was lowest (p < 0.001). The postoperative initial mobilization and hospital stay were lowest in group E and highest in group C (p < 0.001 and p = 0.039, respectively). CONCLUSIONS: both ESP and TLIP block provide good pain relief during and after open lumbar fusion. However, ESP block is more successful than TLIP block in relieving perioperative pain.
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| ISSN: | 1726-9806 1818-474X |