{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:20:52Z","timestamp":1787772052497,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>We compared classical (medial) and modified (lateral) thoracolumbar interfascial plane block (TLIP) with only general anaesthesia (GA) using multimodal analgesia in patients undergoing lumbar disc surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this study, 100 patients aged 18\u201370 years were randomised to Group cTLIP (conventional TLIP block with 20 mL of 0.25% ropivacaine with GA), Group mTLIP (modified TLIP block with 20 mL of 0.25% ropivacaine with GA), and Group C (only GA using multimodal analgesia). The primary outcome was to assess the total peri-operative opioid consumption in the first 24 h. The secondary outcomes were to assess pain score upon arriving in the post-anaesthesia care unit, time to first analgesic need after surgery, post-operative opioid consumption in 24 h, and incidence of nausea and vomiting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The total peri-operative opioid consumption in Group cTLIP (507.58 (258.55) \u03bcg) and Group mTLIP (491.67 (165.39) \u03bcg) was significantly lower than that in Group C (1225.4 (237.03) \u03bcg); (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). However, it was comparable between groups cTLIP and mTLIP (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.767). Pain score was comparable in groups cTLIP and mTLIP. It was significantly lower than Group C (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). Rescue analgesia was needed in all (100%) patients of Group C but in only 15.2% of patients of the cTLIP and mTLIP groups. No patient in groups cTLIP and mTLIP complained of nausea and vomiting in the first 24 h, whereas it was significantly higher (61.8%) in Group C (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The analgesic effect of the modified TLIP block was not superior to the conventional TLIP block. Both techniques provided the same intra-operative and post-operative analgesia for lumbar disc surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_1153_23","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T04:04:38Z","timestamp":1710302678000},"page":"366-373","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Analgesic efficacy of classical thoracolumbar interfascial plane block versus modified thoracolumbar interfascial plane block in patients undergoing lumbar disc surgeries: A comparative, randomised controlled trial"],"prefix":"10.4103","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8542-0898","authenticated-orcid":false,"given":"Sourav","family":"Mondal","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5859-306X","authenticated-orcid":false,"given":"Ravinder Kumar","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7350-5470","authenticated-orcid":false,"given":"Mritunjay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9339-6988","authenticated-orcid":false,"given":"Ankur","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9209-5673","authenticated-orcid":false,"given":"Vanlal","family":"Darlong","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3930-8945","authenticated-orcid":false,"given":"Jyotsna","family":"Punj","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"272","DOI":"10.4103\/ija.ija_775_21","article-title":"A comparative study 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thoracolumbar interfascial plane block versus erector spinae plane block in patients undergoing spine surgeries: A randomized controlled trial","author":"Kumar","year":"2023","journal-title":"J Neurosurg Anesthesiol"},{"key":"R12-20240902","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1186\/s13018-023-03798-2","article-title":"The efficacy of thoracolumbar interfascial plane block for lumbar spinal surgeries: A systematic review and meta-analysis","volume":"18","author":"Long","year":"2023","journal-title":"J Orthop Surg Res"},{"key":"R13-20240902","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.wneu.2023.02.140","article-title":"Thoracolumbar interfascial plane block in spinal surgery: A systematic review with meta-analysis","volume":"174","author":"Abdildin","year":"2023","journal-title":"World Neurosurg"},{"key":"R14-20240902","first-page":"E1085","article-title":"Efficacy of thoracolumbar interfascial plane block for postoperative analgesia in lumbar spine surgery: A meta-analysis of randomized clinical trials","volume":"24","author":"Hu","year":"2021","journal-title":"Pain Physician"},{"key":"R15-20240902","first-page":"186","article-title":"A prospective and randomized trial comparing modified and classical techniques of ultrasound-guided thoracolumbar interfascial plane block","volume":"32","author":"\u00c7ift\u00e7i","year":"2020","journal-title":"Agri"},{"key":"R16-20240902","first-page":"340","article-title":"The effect of the modified thoracolumbar interfacial nerve plane block on postoperative analgesia and healing quality in patients undergoing lumbar disk surgery: A prospective, randomized study","volume":"34","author":"Ozmen","year":"2019","journal-title":"Medeni Med J"},{"key":"R17-20240902","doi-asserted-by":"crossref","first-page":"3465","DOI":"10.2147\/JPR.S329158","article-title":"Effect of ultrasound-guided thoracolumbar interfascial plane block on the analgesic requirements in patients undergoing lumbar spine surgery under general anaesthesia: A randomized controlled trial","volume":"14","author":"Eltaher","year":"2021","journal-title":"J Pain Res"}],"container-title":["Indian Journal of 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