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Thoracolumbar Interfascial Plane Block Versus Bilateral Erector Spinae Plane Block In Lumbar Laminectomy

Primary Purpose

Postoperative Pain, Lumbar Laminectomy, Thoracolumbar Interfascial Plane Block

Status
Unknown status
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Thoracolumbar Interfascial Plane Block (TLIP)
Bilateral Erector Spinae plane Block (ESB)
Sponsored by
Tanta University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postoperative Pain

Eligibility Criteria

21 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Seventy cases with herniated lumbar disc scheduled for lumbar single-level or multiple-level lumbar discectomy with American Society of Anesthesiologists physical status (ASA) I or II aged between 21 and 60 years of both genders.

Exclusion Criteria:

  1. Body mass index >32
  2. History of relevant allergy to any of the drugs used in the procedure
  3. Previous lumbar spine surgery or back surgery with planed spinal fixation

Sites / Locations

  • Tanta University Hospitals

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Thoracolumbar Interfascial Plane Block (TLIP)

Bilateral Erector Spinae plane Block (ESB)

Arm Description

Outcomes

Primary Outcome Measures

Degree of pain by visual Analog Scale (VAS) score at rest
Pain scores will be observed and recorded using the Visual Analog Scale (VAS) both at rest and during movement. The scores will be recorded in the ward at 2, 4, 8, 12, and 24 h. VAS score from 0 to 10 (0: No pain, 10: The worst pain)

Secondary Outcome Measures

Degree of pain by visual Analog Scale (VAS) score at movement
Pain scores will be observed and recorded using the Visual Analog Scale (VAS) both at rest and during movement. The scores will be recorded in the ward at 2, 4, 8, 12, and 24 h VAS score from 0 to 10 (0: No pain, 10: The worst pain)
Total rescue analgesics consumption
The time to first analgesic
24-h morphine consumption
Side effects associated with morphine

Full Information

First Posted
February 14, 2021
Last Updated
February 14, 2021
Sponsor
Tanta University
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1. Study Identification

Unique Protocol Identification Number
NCT04757480
Brief Title
Thoracolumbar Interfascial Plane Block Versus Bilateral Erector Spinae Plane Block In Lumbar Laminectomy
Official Title
Ultrasound Guided Thoracolumbar Interfascial Plane Block Versus Bilateral Ultrasound Guided Erector Spinae Plane Block for Post-Operative Pain Management In Lumbar Laminectomy
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
March 1, 2021 (Anticipated)
Primary Completion Date
September 30, 2021 (Anticipated)
Study Completion Date
October 10, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tanta University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The aim of this prospective randomized trial is to compare the efficacy ultrasound guided thoracolumbar interfascial plane block versus bilateral ultrasound guided erector spinae plane block for post-operative pain management after lumbar laminectomy

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postoperative Pain, Lumbar Laminectomy, Thoracolumbar Interfascial Plane Block, Erector Spinae Plane Block, Ultrasound

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
70 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Thoracolumbar Interfascial Plane Block (TLIP)
Arm Type
Experimental
Arm Title
Bilateral Erector Spinae plane Block (ESB)
Arm Type
Experimental
Intervention Type
Procedure
Intervention Name(s)
Thoracolumbar Interfascial Plane Block (TLIP)
Intervention Description
(20ml) (plain bupivacaine 0.25% on each side toward the LG-MF interface.
Intervention Type
Procedure
Intervention Name(s)
Bilateral Erector Spinae plane Block (ESB)
Intervention Description
Will receive (20ml) (plain bupivacaine 0.25% injected beneath the erector spinae muscle sheath) at the level of the eighth thoracic segment (T8).
Primary Outcome Measure Information:
Title
Degree of pain by visual Analog Scale (VAS) score at rest
Description
Pain scores will be observed and recorded using the Visual Analog Scale (VAS) both at rest and during movement. The scores will be recorded in the ward at 2, 4, 8, 12, and 24 h. VAS score from 0 to 10 (0: No pain, 10: The worst pain)
Time Frame
First 24 hours postoperative
Secondary Outcome Measure Information:
Title
Degree of pain by visual Analog Scale (VAS) score at movement
Description
Pain scores will be observed and recorded using the Visual Analog Scale (VAS) both at rest and during movement. The scores will be recorded in the ward at 2, 4, 8, 12, and 24 h VAS score from 0 to 10 (0: No pain, 10: The worst pain)
Time Frame
First 24 hours postoperative
Title
Total rescue analgesics consumption
Time Frame
First 24 hours postoperative
Title
The time to first analgesic
Time Frame
First 24 hours postoperative
Title
24-h morphine consumption
Time Frame
First 24 hours postoperative
Title
Side effects associated with morphine
Time Frame
First 24 hours postoperative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Seventy cases with herniated lumbar disc scheduled for lumbar single-level or multiple-level lumbar discectomy with American Society of Anesthesiologists physical status (ASA) I or II aged between 21 and 60 years of both genders. Exclusion Criteria: Body mass index >32 History of relevant allergy to any of the drugs used in the procedure Previous lumbar spine surgery or back surgery with planed spinal fixation
Facility Information:
Facility Name
Tanta University Hospitals
City
Tanta
State/Province
ElGharbiaa
ZIP/Postal Code
31511
Country
Egypt
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aliaa M Abdel kader
Phone
01021559948
Email
aliaa.hasanin@gmail.com
Phone
00201000629011

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
The data will be available with reasonalble consent

Learn more about this trial

Thoracolumbar Interfascial Plane Block Versus Bilateral Erector Spinae Plane Block In Lumbar Laminectomy

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