• Hakan Tapar, Özgür Demir, Ali Genç, Mehtap G Balta, Vildan Kölükçü, Tugba Karaman, Serkan Dogru, Serkan Karaman, and Mustafa Suren.
• From the Department of Anesthesiology and Reanimation (Tapar, Balta, Kölükçü, T. Karaman, S. Karaman,); from the Department of Neurosurgery (Demir), Medical Faculty, Tokat Gaziosmanpasa University, from the Department of Anesthesiology and Reanimation (Genç), Turhal State Hospital, from the Department of Anesthesiology and Reanimation (Suren), Medical Faculty, Samsun University, Tokat, and from the Department of Anesthesiology and Reanimation (Dogru), Mersin City Hospital, Mersin, Turkey.
• Saudi Med J. 2022 Oct 1; 43 (10): 113611411136-1141.

ObjectivesTo investigate the effect of thoracolumbar interfacial plane block (TLIP) on analgesic consumption and pain score in vertebral surgery.MethodsAll patients (64 patients undergoing vertebral surgery) were randomly allocated as Group T (patients with block, n=32) and Group C (patients without block, n=32). After surgery, patient-controlled analgesia using tramadol was administered to all patients. Pain intensity was evaluated with visual analogue scale (VAS; recovery room at 1, 2, 6, 12, and 24 hours postoperative), and as rescue analgesia, morphine was administered to patients with VAS scores of >4. In this study, total tramadol consumption, the number of patients requiring morphine, VAS score, and Quality of Recovery-40 of all patients questionnaire was evaluated.ResultsThere were important differences between the 2 groups according to mean postoperative tramadol consumption (Group T and Group C; 180 mg [100-260] vs. 210 mg [100-300]; p=0.001) and the number of patients requiring additional analgesia (n=4; 12.5% vs. n=24; 75%, p=0.000). There were important differences between the 2 groups according to the postoperative VAS pain score (p=0.000).ConclusionUltrasound-TLIP reduces analgesic consumption and pain severity after vertebral surgery. Therefore, it is an important regional analgesia technique. CLINICALTRIALSGOV GRANT NO: NCT04548076.Copyright: © Saudi Medical Journal.

22 keywords...

hide…