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CONCLUSIONS
spinal surgery (2 or 3 level), ASA I-III were
randomized two groups. Group control ( Group C,
n=10); receive bilateral ultrasound guided 2 ml 0,9%
The TLIP block might be useful in 2 and 3 level
salin subcutaneusly each block side, Group TLIP
spinal surgical procedures and minimal invasive
(Group T, n=10) receive ultrasound guided bilateral
spinal surgery by reduce opioid consumption.
TLIP with 0,25 % bupivacaine 20 ml each side. The
procedure was performed with Esote MyLab 30® US
To validate this outcome larger groups
device in 18 Hz frequency linear probe with the
randomized controlled trials needed.
patient was prone position. We made the injection
Figure 1. Opioid Consumption.
between longissimus and iliocostalis muscles with a Figure 4. Difficult identifying of multifidus
and longisimus muscles
REFERENCES
15 degree angle from medial to lateral at the level of
third vertebral body. Postoperative analgesia was
performed intravenously in the 2 groups twice a day 1. Hand WR, Taylor JM, Harvey NR, et al. Thoracolumbar interfascial plane
with dexketoprofen trometamol 50 mg and patient- (TLIP) block: a pilot study in volunteers. Canadian journal of anaesthesia =
CONTACT controlled analgesia with fentanyl. Postoperative Journal canadien d'anesthesie 2015; 62: 1196-200.
2. Ueshima H, Oku K, Otake H. Ultrasound-guided thoracolumbar interfascial
analgesia was evaluated using the visual analog plane block: a cadaveric study of the spread of injectate. J Clin Anesth 2016;
scale (VAS). Fentanyl consumption were recorded 34: 259-60.
Name: Ali Ahiskalioglu during the first 24 hours after surgery. 3. Ahiskalioglu A, Alici HA, Selvitopi K, Yayik AM. Ultrasound Guided Modified
Adress: Anesthesiology and Reanimation, Figure 5. Easy define using USG Thoracolumbar Interfascial Plane Block: A New Approach. . Canadian journal
Ataturk University, Erzurum, Turkey Figure 2. Injection of radiographic dye demonstrates the Figure 3. Illustration of TLIP block longissimus and intercostalis muscles. of anaesthesia. (Accepted manuscript)
multilevel spread of the injected local anesthetic
Email: aliahiskalioglu@hotmail.com
Phone: 90 544 442 4831
Website: https://atauni.edu.tr/ali-ahiskalioglu