Overview
This study aims to compare the analgesic efficacy of multiple mid-transverse process to pleura (MTP) block and PCA in idiopathic scoliosis patients undergoing posterior spinal fusion surgery.
Description
The postoperative period for idiopathic scoliosis patients undergoing posterior spinal fusion (PSF) is fraught with challenges, including adequate postoperative pain control and prolonged hospitalization.
Regional anesthesia techniques, mainly epidural analgesia and, more recently, paravertebral blocks, became crucial parts of the multimodal analgesia (MMA) regimen after introducing ultrasound (US) in the regional anesthesia practice. Erector spinae plane (ESP) block and mid-transverse to pleura (MTP) block are the latest developments in postoperative pain therapy.
Eligibility
Inclusion Criteria:
- Age ≥ 18 years.
- Both sexes.
- American Society of Anesthesiology (ASA) physical status I-II.
- Idiopathic scoliosis patients undergoing posterior spinal fusion surgery.
Exclusion Criteria:
- Patients with pre-existing infection at block site.
- Known allergy to study drugs.
- Coagulation disorder.
- History of psychiatric illness.
- Pre-existing neurological deficits.
- Patient with morbid obesity (body mass index \>40 kg/m2).
- Presence of any pre-operative pain or history of chronic pain.
- History of regular analgesic.