A comparative study between transdermal patches of Buprenorphine andFentanyl for postoperative pain relief following orthopaedic surgery underregional anaesthesia
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 4
Abstract
Abstract: Transdermal buprenorphine and fentanyl is commonly used for chronic pain management. Our aim was to evaluate the efficacy of transdermal buprenorphine and fentanyl patch in postoperative acute pain management.All patients were randomized into two groups (n=30 in each group) using a computer generated random number table. Group B: Buprenorphine (10mcg/h) patch and Group F: Fentanyl (25mcg/h) patch. Both group received patch 12hr prior to surgery. Haemodynamic and analgesic effects were compared by using analysis of variance (ANOVA) followed by Turkey’s post hoc test. The side effects were compared using the Chi-square test.Hemodynamic changes were not statistically different in both groups. At the end of surgery VAS score of Group A patients was lower as compared to Group B on day 1,2 and 3 but not statistically significant. Sedation was more in group A patients in comparison to group B. The transdermal buprenorphine patch was as effective as fentanyl patch in attenuating postoperative pain and maintaining hemodynamic stability. Keywords:Analgesia, Hemodynamic, Patch, Transdermal delivery system
Authors and Affiliations
Rekha Das, Sumita Mohanty, Sidharth Sraban Routray, Abhilash Dash, Deepak Narayan Sahoo
Effect of Different Nerve Block of Local Anesthetics with Epinephrine on Selected Cardiovascular Parameters
Abstract: Lignocaine can also be used for nerve blocks. Lidocaine, also known as xylocaine or lignocaine is a medication used to numb tissue in a specific area and to treat ventricular tachycardia. Sixty subjects (15 fem...
Non-Traumatic Spontaneous Rupture of Aortic Aneurysm with Dissection of Aorta
Abstract: Aortic dissection is very serious and emergency condition where death immediately follows the tear in wall aorta. As the tear extends, blood can flow in between the wall of blood vessel called as dissection of...
Impact of Electronic Media on Sleep
Abstract: With technological advances there is increase in usage of electronic gadgets like computer, cell phone, MP3 player, tablet, game console, television, TV-games and computer games. With electronic media and soci...
Clinical Analysis and Outcome of Spinal Tumours
Abstract:Spinal tumors comprise a minority of central nervous system tumors, Majority of cases presenting with significant neurological deficits. We analysed 60 cases of spinal tumors and their neurological outcome. The...
Spontaneous Subcapsular Biloma Presenting As Acute Abdomen: Case Report and Literature Review
A biloma by definition is an encapsulated collection of bile outside the biliary tree. It is mainly caused by iatrogenic injury or abdominal trauma. A spontaneous infected biloma without any underlying disease is a very...