Comparing Two Regional Blocks to Reduce Opioid Use After Lumbar Microdiscectomy Surgery

What this Trial Is About

Researchers are comparing two regional anesthesia techniques, the Thoracolumbar Interfascial Plane TLIP block and the Quadro Iliac Plane Block, for pain control after lumbar microdiscectomy surgery. This surgery treats herniated discs, and managing pain well after surgery is important to help patients recover early and avoid complications such as opioid dependence and respiratory problems. The study aims to see which block better reduces opioid use and related side effects. Participants are randomly assigned to one of three groups one group receives standard pain control without any additional nerve block, the second group receives the TLIP block along with standard analgesia, and the third group receives the Quadro Iliac Plane Block plus standard analgesia. Both blocks are performed using ultrasound guidance after surgery but before the patient wakes up, with 20 mL of 0.25% bupivacaine injected at specific sites. During the first 24 hours after surgery, researchers will monitor tramadol an opioid consumption, pain levels using the Numeric Rating Scale NRS, and opioid-related side effects such as nausea, vomiting, and respiratory depression. The study includes adults aged 18 to 80 years undergoing lumbar microdiscectomy and continues until the primary outcome is assessed. Participants recovery and pain management are closely observed to understand the effectiveness of these blocks compared to standard care.

Comparing Thoracolumbar Interfascial and Quadro Iliac Plane Blocks on Postoperative Opioid Use Following Lumbar Microsurgery