The Effects of Oral Transmucosal Fentanyl Citrate Premedication on Preoperative Behavioral Responses and Gastric Volume and Acidity in Children

Oral transmucosal fentanyl citrate as an anaesthetic premedication when dosed to an opioid effect total opioid consumption

“…There was no postoperative pruritus in our study. This finding is supported by other studies which found the incidence of postoperative pruritus to be rare ( 7, 8, 11).…”

“…OTFC is a noninvasive, non‐threatening method of administering premedication to children and has a steady, predictable absorption ( 4). OTFC has been found to effectively reduce anxiety and fearfulness in children scheduled to undergo surgery or minor procedures ( 5–7 ).…”

Sugarless gum chewing before surgery does not increase gastric fluid volume or acidity

“…Similarly, Dawes and Macpherson 13 showed that sugar-containing gum, sugarless gum and lozenges all have similar effects on salivary flow rates. The results of Stanley et al 12 and Dawes and Macpherson suggest our results probably are applicable to sugar-containing gum also.…”

Medicolegal and nursing practice in the private sector

“…Stanley et al [4] found similar gastric volumes with a placebo lollipop (0.54, SD 0.45 ml.kg-') and fentanyl lollipop (0.57, SD 0.39 ml.kg-') compared with no premedication (0.30, SD 0.20 ml.kg-'). Although the volumes in the two lollipop groups were statistically significantly greater than in the control group, their clinical significances is less certain because the actual volumes and pHs were still within the range of those found with no premedication, or premedication with various sedatives or hypnotoics, by other investigators.…”