Annals of African medicine · 2026
Comparison of the Efficacy of Ultrasound-guided Erector Spinae Block Versus Ultrasound-guided Thoracolumbar Interfascial Plane Block for Perioperative Analgesia in Lumbar Discectomy Surgeries.
СтатьяНазвание и аннотация: Перевод в очереди
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Murugesan Gokulakannan, Jayanthi Abhinay, Kumari Sarita, Meena Kavita, Gangwar Pradeepika, Singh Atul Kumar
Аннотация
BACKGROUND: Postoperative pain after lumbar discectomy is often severe and may delay recovery. Ultrasound-guided interfascial plane blocks, namely erector spinae plane (ESP) and thoracolumbar interfascial plane (TLIP), are increasingly used as opioid-sparing strategies.
SUBJECTS AND METHODS: In this randomized prospective study, sixty American Society of Anesthesiologists I-II participants undergoing single-level lumbar discectomy were allocated to receive bilateral ESP block (Group E, n = 30) or bilateral TLIP block (Group T, n = 30). Both blocks used 20 ml of 0.2% ropivacaine withdexamethasone 8mg as adjuvant. The primary outcome was time to first rescue analgesia; secondary outcomes were 24-h rescue analgesic requirement, intraoperative fentanyl consumption, VAS at rest and movement (30 min, 1, 6, 12, 24 h).
RESULTS: ESP block significantly prolonged time to first rescue analgesia compared with TLIP (286.7 ± 62.9 vs. 134.8 ± 29.6 min; P < 0.001) and reduced 24-h rescue analgesic doses (2.03 ± 0.32 vs. 2.50 ± 0.51; P = 0.0001). VAS scores were consistently lower in Group E, while intraoperative fentanyl consumption was similar between groups. No block-related complications were observed.
CONCLUSION: ESP block provides superior and longer-lasting postoperative analgesia compared with TLIP block in lumbar discectomy, supporting its role as an effective component of multimodal analgesia as part of multimodal analgesia.
SUBJECTS AND METHODS: In this randomized prospective study, sixty American Society of Anesthesiologists I-II participants undergoing single-level lumbar discectomy were allocated to receive bilateral ESP block (Group E, n = 30) or bilateral TLIP block (Group T, n = 30). Both blocks used 20 ml of 0.2% ropivacaine withdexamethasone 8mg as adjuvant. The primary outcome was time to first rescue analgesia; secondary outcomes were 24-h rescue analgesic requirement, intraoperative fentanyl consumption, VAS at rest and movement (30 min, 1, 6, 12, 24 h).
RESULTS: ESP block significantly prolonged time to first rescue analgesia compared with TLIP (286.7 ± 62.9 vs. 134.8 ± 29.6 min; P < 0.001) and reduced 24-h rescue analgesic doses (2.03 ± 0.32 vs. 2.50 ± 0.51; P = 0.0001). VAS scores were consistently lower in Group E, while intraoperative fentanyl consumption was similar between groups. No block-related complications were observed.
CONCLUSION: ESP block provides superior and longer-lasting postoperative analgesia compared with TLIP block in lumbar discectomy, supporting its role as an effective component of multimodal analgesia as part of multimodal analgesia.