The Thoraco-Lumbar Interfascial Plane (TLIP) Block - Regional Analgesia for the Spine

A brief introduction and how-to-guide for the TLIP block as currently performed at TWH.
This video is provided for education only and does not constitute professional medical advice.

[@sailwestmac]

Thank you for this great multi media presentation. We have started using these for TLIF surgeries.

[@KiJinnChin]

Great to hear that! I use it as well for lumbar spine surgeries to provide opioid-sparing. I have found it preferable to use a mixture of lidocaine with bupivacaine when doing it after prone positioning, to produce faster onset that will cover the incision.

[@michaelwendell5307]

Another quality production by a masterful clinician and professor. Thank you for sharing your passion with the rest of the regional anesthesia profession.

[@KiJinnChin]

Thank you; I’m glad you found it useful.

[@streen2000]

Excellent stuff. Can't believe I only just found this

[@wesleyrajaleelan]

Saw Dr Peng doing one today and this video was like the cherry on the pudding ! Thank you for your time and efforts Dr Chin

[@KiJinnChin]

I'm so glad you found that it added to your learning; thanks for the kind words.

[@leiladarocha8312]

Thank you. Very elucidative!

[@noreenshahbaz2743]

Very useful video. Thanks a lot.

[@alvaroalfaro9478]

Grateful for your time and expertise. I am wondering if a local placed retrolaminar in the plane between lamina and deep MF fascia would produce analgesia for spine surgery or other surgeries similar to an ESP or TLIP? Is that plane contiguous with the ESP plane more laterally at the transverse process? Thanks.

[@donnaadriana3830]

Would like to ask, if the spine operation incision from. L1 to. L5, which level should I give the TLIP block to cover the incision thanks (operation involve L2 to L5)

[@KiJinnChin]

I usually advocate to perform it in the middle of the range of operative levels. So L3 in this case. Some advocate for bi-level injections; but this will take more time.