{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:29:01Z","timestamp":1786649341961,"version":"build-2736575974"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>\n                      In this randomized prospective study, sixty American Society of Anesthesiologists I\u2013II participants undergoing single-level lumbar discectomy were allocated to receive bilateral ESP block (Group E, n = 30) or bilateral TLIP block (Group T,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\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).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>ESP block significantly prolonged time to first rescue analgesia compared with TLIP (286.7 \u00b1 62.9 vs. 134.8 \u00b1 29.6 min; P &lt; 0.001) and reduced 24-h rescue analgesic doses (2.03 \u00b1 0.32 vs. 2.50 \u00b1 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_768_25","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T06:00:08Z","timestamp":1775800808000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of the Efficacy of Ultrasound-guided Erector Spinae Block Versus Ultrasound-guided Thoracolumbar Interfascial Plane Block for Perioperative Analgesia in Lumbar Discectomy Surgeries"],"prefix":"10.4103","author":[{"given":"Gokulakannan","family":"Murugesan","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care Medicine, Kauvery Hospitals, Salem, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinay","family":"Jayanthi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarita","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Meena","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeepika","family":"Gangwar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,10]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_768_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:52:44Z","timestamp":1786647164000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_768_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,10]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_768_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,10]]},"assertion":[{"value":"2025-11-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}