Regional Nerve Blocks to Improve Analgesia and Recovery in Older Adults Undergoing Spinal Fusion

Conditions

• Delirium
• Pain, Back
• Spinal Fusion
• Thoracolumbar Interfascial Plane Block

Interventions

• DRUG: Thoracolumbar Interfascial Plane (TLIP) Block of bupivacaine
• DIAGNOSTIC_TEST: Blood Test
• OTHER: 3D CAM Delirium Severity Scoring
• OTHER: Generalized Anxiety Disorder 7-item (GAD-7) scale
• OTHER: Numerical Rating Score (NRS)
• OTHER: PROMIS-Pain Interference
• OTHER: Oswestry Disability Index (ODI)
• OTHER: Saint Louis University Mental Status Examination (SLUMs)
• OTHER: Delirium Rating Scale-Revised-98 (DRS)
• OTHER: Telephone Interview for Cognitive Status - Modified (TICS-M)
• OTHER: Opioid Equivalents measured by Morphine Milligram Equivalents (MME)
• OTHER: Patient Health Questionnaire depression scale (PHQ-8)
• OTHER: Pain Catastrophizing
• OTHER: Fear Avoidance Beliefs Questionnaire (FABQ)
• OTHER: Opioid Side Effects and Likeability Questionnaire
• OTHER: Daily Pain Trajectory
• OTHER: Tampa Scale of Kinesiophobia
• OTHER: Quality of Recovery 15

Sponsor

University of Iowa