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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thoracolumbar Interfascial Plane Block (TLIP) | Experimental |
| |
| Bilateral Erector Spinae plane Block (ESB) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thoracolumbar Interfascial Plane Block (TLIP) | Procedure | (20ml) (plain bupivacaine 0.25% on each side toward the LG-MF interface. |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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) | First 24 hours postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| 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) | First 24 hours postoperative |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University Hospitals | Tanta | ElGharbiaa | 31511 | Egypt |
The data will be available with reasonalble consent
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| Bilateral Erector Spinae plane Block (ESB) | Procedure | Will receive (20ml) (plain bupivacaine 0.25% injected beneath the erector spinae muscle sheath) at the level of the eighth thoracic segment (T8). |
|
| Total rescue analgesics consumption |
| First 24 hours postoperative |
| The time to first analgesic | First 24 hours postoperative |
| 24-h morphine consumption | First 24 hours postoperative |
| Side effects associated with morphine | First 24 hours postoperative |
| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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