Ultrason eşliğinde yapılan torakolomber interfasiyal plan bloğunun klasik ve modifiye tekniklerini karşılaştıran prospektif ve randomize çalışma

Amaç: Torakolomber interfasiyal plan (TLIP) bloğu, lumbar spinal cerrahi sonrası etkili analjezi sağlayan, ultrason (US) eşliğinde yapılan yeni bir rejyonal anestezi tekniğidir. Bu bloğun iki farklı tekniği tanımlanmıştır: klasik (cTLIP) ve modifiye (mTLIP) teknik. Literatürde henüz bu iki tekniği karşılaştıran bir çalışma bulunmamaktadır. Çalışmamızda lomber disk cerrahisi sonrası US eşliğinde mTLIP ve cTLIP bloklarının işlem uygulama kolaylığını ve analjezik etkinliğini karşılaştırmayı amaçladık. Gereç ve Yöntem: Amerikan Anestezistler Derneği (American Society of Anesthesiologist/ASA) anestezi risk sınıflamasına göre sınıf I-II, 18-65 yaş arası ve genel anestezi altında lomber disk cerrahisi planlanan 60 hasta çalışmaya dahil edildi. Hastalara US eşliğinde mTLIP (n=30) ve cTLIP (n=30) blok uygulandı. Blok uygulama süresi, tek seferde blok başarısı, opioid tüketimi, postoperatif ağrı skorları, yan etkiler ve bloğa bağlı komplikasyonlar kaydedildi. Bulgular: Blok uygulama süresi mTLIP grubunda anlamlı derecede düşüktü (p

A prospective and randomized trial comparing modified and classical techniques of ultrasound-guided thoracolumbar interfascial plane block

Objectives: A thoracolumbar interfascial plane (TLIP) block is a novel ultrasound (US)-guided technique that provides effective analgesia after lumbar spinal surgery. Two approaches for a TLIP block have been defined: a classical (cTLIP) technique anda modified (mTLIP) technique. A literature review revealed no published comparison of the 2 techniques. This study examinedthe practicality and analgesic efficacy of US-guided mTLIP and cTLIP blocks following lumbar disc surgery.Methods: Sixty patients aged 18–65 years with an American Society of Anesthesiologists classification of I or II who werescheduled for lumbar disc surgery under general anesthesia were included. US-guided mTLIP (n=30) and cTLIP (n=30) blockswere performed. The performance time of the block procedures, the success of a one-time block, postoperative pain scores,opioid consumption, adverse effects, and block-related complications were recorded and analyzed.Results: The performance time was significantly less in the mTLIP group (p

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