Postoperative analgesia after total hip arthroplasty: patient-controlled analgesia versus transdermal fentanyl patch

Minville, Vincent; Lubrano, V.; Bounes, Vincent; Pianezza, Antoine; Rabinowitz, Anna; Gris, Claude; Samii, Kamran; Fourcade, Olivier

doi:10.1016/j.jclinane.2007.12.013

Cited by 25 publications

(25 citation statements)

References 13 publications

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“…Although we did not encounter any severe respiratory depression, this may have been due to the small sample size, as in other studies 14–19. The adverse effects of TFPs are dose-dependent, as with other narcotic administration.…”

Section: Discussionmentioning

confidence: 54%

“…A TFP administering 75 μg/hour is also used as a safe and effective analgesic after major shoulder surgery 16. Other studies showed that TFPs can safely reduce morphine consumption and pain scores for patients undergoing hemorrhoidectomy,17 major urological operations,18 abdominal surgery,19 and total hip arthroplasty 14. By contrast, some studies have reported that TFPs did not significantly relieve postoperative pain 20,21.…”

Section: Discussionmentioning

confidence: 99%

“…The TFP has many advantages: it can easily adhere to the skin, obviating an intravenous line, so there is little risk of infection, it is easily procured and costs less than a PCA pump, and it needs no programming, so no human error occurs 14. It may be a good alternative in acute pain management.…”

Section: Discussionmentioning

confidence: 99%

“…Using Minville et al14 as a guide, we determined that for an α -value of 0.05 and a power (1-β) of 0.80, the sample size needed to be 19 patients in each group. We recruited 40 patients to cover dropout.…”

Section: Methodsmentioning

confidence: 99%

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Transdermal fentanyl patch for postoperative analgesia in total knee arthroplasty: a randomized double-blind controlled trial

Sathitkarnmanee¹,

Tribuddharat²,

Noiphitak³

et al. 2014

JPR

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PurposeTo assess the efficacy of a transdermal fentanyl patch (TFP) (50 μg/hour) applied 10–12 hours before surgery versus placebo for postoperative pain control of total knee arthroplasty (TKA).Materials and methodsWe enrolled 40 patients undergoing elective TKA under spinal anesthesia using isobaric or hyperbaric bupivacaine. Subjects were randomized to receive a TFP (Duragesic® 50 μg/hour) or placebo patch applied with a self-adhesive to the anterior chest wall 10–12 hours before spinal anesthesia. Every patient was given patient-controlled morphine for postoperative pain control. Patients were evaluated every 4 hours until 48 hours.ResultsMorphine consumption at 24 and 48 hours in the TFP group versus the placebo group was 15.40±12.65 and 24.90±20.11 mg versus 33.60±19.06 and 57.80±12.65 mg (P≤0.001). Numeric rating scale scores at rest and during movement over 48 hours were lower in the TFP group. Ambulation and nausea/vomiting scores were statistically greater, but not clinically significant in the TFP group. Sedation scores were low and not statistically significantly different between groups. There was no severe respiratory depression.ConclusionTFP (50 μg/hour) applied 10–12 hours before surgery can effectively and safely decrease morphine consumption and pain scores during the first 48 hours after TKA surgery.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Transdermal fentanyl patch for postoperative analgesia in total knee arthroplasty: a randomized double-blind controlled trial

Sathitkarnmanee¹,

Tribuddharat²,

Noiphitak³

et al. 2014

JPR

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“…But, gabapentin may have some beneficial effect in this regard [3]. There are similar reports with use of preoperative Transdermal fentanyl (TF) patch application, to decreases acute pain scores and morphine consumption in the Post Anaesthesia Care Unit [4,5,6]. So the purpose of this study was to evaluate the combined analgesic effect of gabapentin and TF patch, on acute and chronic pain after surgery for maxillary cancer.…”

Section: Introductionmentioning

confidence: 96%

The combined analgesic effect of gabapentin and transdermal fentanyl patch on acute and chronic pain after maxillary cancer surgeries

Dhasmana

Singh

Pal

2009

J. Maxillofac. Oral Surg.

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Reduced morphine consumption and pain severity with transdermal fentanyl patches following total knee arthroplasty

Abrisham

Ghahramani

Heiranizadeh

et al. 2012

Knee Surg Sports Traumatol Arthrosc

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Postoperative analgesia after total hip arthroplasty: patient-controlled analgesia versus transdermal fentanyl patch

Cited by 25 publications

References 13 publications

Transdermal fentanyl patch for postoperative analgesia in total knee arthroplasty: a randomized double-blind controlled trial

Transdermal fentanyl patch for postoperative analgesia in total knee arthroplasty: a randomized double-blind controlled trial

The combined analgesic effect of gabapentin and transdermal fentanyl patch on acute and chronic pain after maxillary cancer surgeries

Reduced morphine consumption and pain severity with transdermal fentanyl patches following total knee arthroplasty

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