Mürsel EKİNCİ, Bahadır ÇİFTÇİ, Erkan Cem ÇELİK, AHMET MURAT YAYIK, Alican TAHTA, Yunus Oktay ATALAY

A comparison of the ultrasound-guided modified-thoracolumbar interfascial plane block and wound infiltration for postoperative pain management in lumbar spinal surgery patients

Objectives: Pain management is an important issue following lumbar spinal surgery. Wound infitration is a technique that a local anesthetic solution is infitrated into the tissues around the surgical area. Previous studies reported that US-guided modifid thoracolumbar interfacial plane (mTLIP) block after lumbar spinal surgery provided effctive analgesia. In this study, we aimed to compare the analgesic efficy of the US-guided mTLIP block and wound infitration following lumbar disc surgery. Methods: 60 patients aged 18–65 years, ASA classifiation I–II, and scheduled for lumbar disc surgery under general anesthesia were included in the study. US-guided mTLIP block was performed via the lateral approach in group T (n=30), and wound infitration was performed in group W (n=30). Opioid consumption, postoperative pain scores and adverse effcts of opioids, such as allergic reactions, nausea, and vomiting, were recorded. Results: Opioid consumption and the use of rescue analgesia were signifiantly lower in group T in all the postoperative periods (1, 2, 4, 8, 16, and 24 h) (p

Lomber spinal cerrahi yapılan hastalarda postoperatif analjezi yönetimi için ultrason eşliğinde yapılan modifiye-torakolomber interfasiyal plan bloğu ve yara yeri infiltrasyonunun karşılaştırılması: Prospektif, randomize çalışma

Amaç: Lomber spinal cerrahi sonrası analjezi yönetimi önemli bir konudur. Yara yeri infiltrasyonu, lokal anesteziğin cerrahi alan etrafındaki dokulara infiltre edildiği bir tekniktir. Daha önceki klinik çalışmalar, lomber spinal cerrahi sonrası ultrason (US) eşliğinde yapılan modifiye torakolomber interfasiyal plan (mTLIP) bloğunun etkili analjezi sağladığını göstermektedir. Çalışmamızda lomber disk cerrahisi sonrası US eşliğinde mTLIP bloğun ve yara infiltrasyonunun analjezik etkinliğini karşılaştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya, 18-65 yaş arası, ASA I -II sınıfında olan ve genel anestezi altında lomber disk cerrahisi planlanan 60 hasta dahil edildi. Anestezi indüksiyonu yapılıp pron pozisyona alındıktan sonra T grubuna (n=30) lateral yaklaşımla US eşliğinde mTLIP blok, W grubunda ise (n=30) yara yeri infiltrasyonu yapıldı. Opioid tüketimi, postoperatif ağrı skorları ve yan etkiler (allerjik reaksiyon, bulantı, kusma) kaydedildi. Bulgular: Postoperatif tüm zaman aralıklarında (1, 2, 4, 8, 16 ve 24 saat) opioid tüketimi ve kurtarıcı analjezi kullanımı grup T’de anlamlı olarak düşüktü (p

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