Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial
<h3>Introduction</h3><p dir="ltr">The management of postoperative pain following lumbar disc herniation (LDH) surgery is crucial for the quality of recovery. The effectiveness of multimodal analgesia plans increases when interfascial plane blocks are included. This study...
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| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , , , |
| منشور في: |
2023
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| _version_ | 1864513529450594304 |
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| author | Şenay Canikli Adıgüzel (17823365) |
| author2 | Dilan Akyurt (17823368) Hatice Bahadır Altun (17823371) Gökçe Ültan Özgen (17823374) Sevda Akdeniz (17823377) Birol Bayraktar (17823380) Serkan Tulgar (15246137) Yavuz Yiğit (17823383) |
| author2_role | author author author author author author author |
| author_facet | Şenay Canikli Adıgüzel (17823365) Dilan Akyurt (17823368) Hatice Bahadır Altun (17823371) Gökçe Ültan Özgen (17823374) Sevda Akdeniz (17823377) Birol Bayraktar (17823380) Serkan Tulgar (15246137) Yavuz Yiğit (17823383) |
| author_role | author |
| dc.creator.none.fl_str_mv | Şenay Canikli Adıgüzel (17823365) Dilan Akyurt (17823368) Hatice Bahadır Altun (17823371) Gökçe Ültan Özgen (17823374) Sevda Akdeniz (17823377) Birol Bayraktar (17823380) Serkan Tulgar (15246137) Yavuz Yiğit (17823383) |
| dc.date.none.fl_str_mv | 2023-11-21T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.3390/jcm12237217 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Posterior_Quadratus_Lumborum_Block_or_Thoracolumbar_Interfascial_Plane_Block_and_Postoperative_Analgesia_after_Spinal_Surgery_A_Randomized_Controlled_Trial/25038260 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences lumber disc surgery thoracolumbar interfascial plane block posterior quadratus lumborum block opioid consumption postoperative pain |
| dc.title.none.fl_str_mv | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Introduction</h3><p dir="ltr">The management of postoperative pain following lumbar disc herniation (LDH) surgery is crucial for the quality of recovery. The effectiveness of multimodal analgesia plans increases when interfascial plane blocks are included. This study sought to compare the analgesic efficacy of preoperative ultrasound-guided TLIP (thoracolumbar interfascial plane) blocks and posterior QLBs (quadratus lumborum blocks) in patients undergoing LDH surgery. </p><h3>Methods</h3><p dir="ltr">Patients undergoing elective LDH surgery under general anesthesia were randomized into two groups: thoracolumbar interfascial plane block (Group T) and posterior quadratus lumborum block (Group Q). Block applications were performed 30 min before anesthesia induction. In the postoperative period, analgesia control was provided with a patient-controlled analgesia device. The patients’ 24 h cumulative opioid consumption was examined. Pain scores were evaluated in the 0th, 3rd, 6th, 9th, 12th, and 24th hours. </p><h3>Results</h3><p dir="ltr">The mean 24 h cumulative morphine consumption for patients was statistically insignificant when Groups T and Q were compared (9.14 ± 7.03 mg vs. 8.66 ± 6.58 mg, p = 0.788). Pain scores at rest and during movement as well as morphine consumption were similar between groups in the 0th, 3rd, 6th, 9th, 12th, and 24th hours (p > 0.05). </p><h3>Conclusions</h3><p dir="ltr">The study determined that the utilization of TLIP blocks and posterior QLBs prior to anesthesia induction yielded comparable outcomes in terms of reducing postoperative analgesic consumption and enhancing the efficacy of multimodal analgesia in individuals undergoing single-distance lumbosacral spine surgery under general anesthesia.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Clinical Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/jcm12237217" target="_blank">https://dx.doi.org/10.3390/jcm12237217</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_f5bf58083b57849e4ceaaead700b8740 |
| identifier_str_mv | 10.3390/jcm12237217 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25038260 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled TrialŞenay Canikli Adıgüzel (17823365)Dilan Akyurt (17823368)Hatice Bahadır Altun (17823371)Gökçe Ültan Özgen (17823374)Sevda Akdeniz (17823377)Birol Bayraktar (17823380)Serkan Tulgar (15246137)Yavuz Yiğit (17823383)Biomedical and clinical sciencesClinical scienceslumber disc surgerythoracolumbar interfascial plane blockposterior quadratus lumborum blockopioid consumptionpostoperative pain<h3>Introduction</h3><p dir="ltr">The management of postoperative pain following lumbar disc herniation (LDH) surgery is crucial for the quality of recovery. The effectiveness of multimodal analgesia plans increases when interfascial plane blocks are included. This study sought to compare the analgesic efficacy of preoperative ultrasound-guided TLIP (thoracolumbar interfascial plane) blocks and posterior QLBs (quadratus lumborum blocks) in patients undergoing LDH surgery. </p><h3>Methods</h3><p dir="ltr">Patients undergoing elective LDH surgery under general anesthesia were randomized into two groups: thoracolumbar interfascial plane block (Group T) and posterior quadratus lumborum block (Group Q). Block applications were performed 30 min before anesthesia induction. In the postoperative period, analgesia control was provided with a patient-controlled analgesia device. The patients’ 24 h cumulative opioid consumption was examined. Pain scores were evaluated in the 0th, 3rd, 6th, 9th, 12th, and 24th hours. </p><h3>Results</h3><p dir="ltr">The mean 24 h cumulative morphine consumption for patients was statistically insignificant when Groups T and Q were compared (9.14 ± 7.03 mg vs. 8.66 ± 6.58 mg, p = 0.788). Pain scores at rest and during movement as well as morphine consumption were similar between groups in the 0th, 3rd, 6th, 9th, 12th, and 24th hours (p > 0.05). </p><h3>Conclusions</h3><p dir="ltr">The study determined that the utilization of TLIP blocks and posterior QLBs prior to anesthesia induction yielded comparable outcomes in terms of reducing postoperative analgesic consumption and enhancing the efficacy of multimodal analgesia in individuals undergoing single-distance lumbosacral spine surgery under general anesthesia.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Clinical Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/jcm12237217" target="_blank">https://dx.doi.org/10.3390/jcm12237217</a></p>2023-11-21T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3390/jcm12237217https://figshare.com/articles/journal_contribution/Posterior_Quadratus_Lumborum_Block_or_Thoracolumbar_Interfascial_Plane_Block_and_Postoperative_Analgesia_after_Spinal_Surgery_A_Randomized_Controlled_Trial/25038260CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/250382602023-11-21T03:00:00Z |
| spellingShingle | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial Şenay Canikli Adıgüzel (17823365) Biomedical and clinical sciences Clinical sciences lumber disc surgery thoracolumbar interfascial plane block posterior quadratus lumborum block opioid consumption postoperative pain |
| status_str | publishedVersion |
| title | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial |
| title_full | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial |
| title_fullStr | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial |
| title_full_unstemmed | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial |
| title_short | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial |
| title_sort | Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial |
| topic | Biomedical and clinical sciences Clinical sciences lumber disc surgery thoracolumbar interfascial plane block posterior quadratus lumborum block opioid consumption postoperative pain |