A comparison of the effects of thoracolumbar interfascial plane (TLIP) block and erector spinae plane (ESP) block in postoperative acute pain in spinal surgery,European Spine Journal

当前位置： X-MOL 学术 › Eur. Spine J. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

A comparison of the effects of thoracolumbar interfascial plane (TLIP) block and erector spinae plane (ESP) block in postoperative acute pain in spinal surgery
European Spine Journal ( IF 2.6 ) Pub Date : 2024-01-11 , DOI: 10.1007/s00586-023-08097-2
Pelin Dilsiz ₁ , Sinem Sari ₂ , Kadir Berkay Tan ₂ , Murat Demircioğlu ₂ , İsmet Topçu ₃ , Varlik Kamil Erel ₂ , Osman Nuri Aydin ₄ , Mehmet Turgut _{5,

6}

Affiliation

Purpose

Spinal surgeries are a very painful procedure. New regional techniques for postoperative pain management are being considered. The present study aimed to evaluate the hypothesis that the ultrasound-guided erector spinae plane (ESP) block would lead to lower opioid consumption compared to the thoracolumbar interfascial plane (TLIP) block after lumbar disk surgery. The study's primary objective was to compare postoperative total opioid consumption, and the secondary objective was to assess postoperative pain scores.

Methods

Sixty-eight patients who underwent elective lumbar disk surgery were randomly assigned to either the ESP block group or the TLIP block group. The current pain status of the patients in both the ESP and TLIP block groups was assessed using the Numerical Rating Scale (NRS) at specific time intervals (30 min, 1, 6, 12 and 24 h) during the postoperative period. The number of times patients administered a bolus dose of patient-controlled analgesia, (PCA) within the first 24 h was recorded.

Results

In the ESP group, the total opioid consumption in terms of morphine equivalents was found to be significantly lower (ESP group: 7.7 ± 7.0; TLIP group: 13.0 ± 10.1; p < 0.05). The NRS scores were similar between the groups at 30 min, 1, 6, and 12 h, but at 24 h, they were significantly lower in the ESP group. Moreover, the groups had no significant difference regarding observed side effects.

Conclusion

This study demonstrated the analgesic efficacy of both techniques, revealing that the ESP block provides more effective analgesia in patients undergoing lumbar disk surgery.

中文翻译：

胸腰段筋膜平面（TLIP）阻滞与竖脊肌平面（ESP）阻滞对脊柱手术术后急性疼痛的效果比较

目的

脊柱手术是一个非常痛苦的过程。正在考虑术后疼痛管理的新区域技术。本研究旨在评估腰椎间盘手术后超声引导下的竖脊肌平面（ESP）阻滞与胸腰段筋膜间平面（TLIP）阻滞相比会导致阿片类药物消耗量降低的假设。该研究的主要目的是比较术后阿片类药物的总消耗量，次要目的是评估术后疼痛评分。

方法

68 名接受择期腰椎间盘手术的患者被随机分配到 ESP 阻滞组或 TLIP 阻滞组。术后期间按特定时间间隔（30 分钟、1、6、12 和 24 小时）使用数值评定量表（NRS）评估 ESP 和 TLIP 阻滞组患者当前的疼痛状况。记录患者在前 24 小时内推注患者自控镇痛 (PCA) 的次数。

结果

在 ESP 组中，以吗啡当量计算的阿片类药物总消耗量明显较低（ESP 组：7.7 ± 7.0；TLIP 组：13.0 ± 10.1； p < 0.05）。 30 分钟、1、6 和 12 小时时，各组之间的 NRS 评分相似，但在 24 小时时，ESP 组的 NRS 评分显着较低。此外，各组在观察到的副作用方面没有显着差异。