Fentanyl Transdermal Therapy System (TTS-Patch) for Post-Traumatic Blunt Chest Injury

A. Ezzat; B. Kahlout; A. Al Hassani; R. Hassan; M.O. Tawfik

doi:10.5339/qmj.2010.2.18

ISSN: 0253-8253
E-ISSN: 2227-0426

oa Fentanyl Transdermal Therapy System (TTS-Patch) for Post-Traumatic Blunt Chest Injury
المؤلفون: A. Ezzat¹, B. Kahlout², A. Al Hassani³, R. Hassan⁴ and M.O. Tawfik⁵
عرض الانتماءات إخفاء الانتسابات المهنية

االانتسابات المهنيه ¹ ^*Anesthesia and Pain Management ² ^**Emergency ³ ^***Trauma Surgery Departments, Hamad Medical Corporation, Doha, Qatar ⁴ ^****University of Pittsburgh Medical Center, USA ⁵ ^*****Pain Management Department,NCI, Cairo University, Egypt
Source: Qatar Medical Journal, Volume 2010, Issue 2, ديسمبر ٢٠١٠, 18
DOI https://doi.org/10.5339/qmj.2010.2.18
- تاريخ النشر الكترونيا: ٠١ ديسمبر ٢٠١٠

ملخص

Proper post-extubation pain control in traumatic blunt chest injury represents a challenge to provide adequate analgesia for proper lung inflation and to prevent re-intubation. In this case, the average opioid (Remifentanil) infusion drip in a traumatic blunt chest injury patient in the 48 hours prior to extubation was calculated and converted to the equivalent analgesic one of the Fentanyl Transdermal Therapeutic System (Fentanyl TTS Patch). The analgesic gap before the onset of action for the applied fentanyl patch was covered by frequent injections of tramadol. Evaluation of the Fentanyl TTS effect through the post-extubation period was carried out by measuring the analgesic effect on a visual analogue scale, the alertness status by simple sedation score, while the respiratory performance was followed by the negative inspiratory force. The outcome in this case showed that Fentanyl Patch is a reliable, favorable, safe and non-invasive method that produces a good analgesic effect and positive impaction on the post-extubation course of respiratory performance with a satisfactory outcome and no side effects.

جارٍ تحميل قياسات المقالة...

/content/journals/10.5339/qmj.2010.2.18

٢٠١٠-١٢-٠١

٢٠٢٤-١٢-٢٢

Full text loading...

References

Joshi PJ, Warner DS, Fleisher LA. A comparison of the remifentanil and Fentanyl Adverse effect profile in a multicenter phase IV study. Journal of Clinical Anesthesia. 2002; 14::494–499.
[Google الباحث العلمي]
Twersky R5, Jamerson B, Warner DS, Fleisher LA, Hogue S. Hemodynamic and emergence profile of remifentanil versus fentanyl prospectively compared in a large population of surgical patients. J Clin Anesth. 2001; 13::407–416.
[Google الباحث العلمي]
Fleisher LA, Hogue S, Colopy M. Does functional ability in the postoperative period differ between remifentanil- and fentanyl-based anesthesia? J Clin Anesth. 2001; 13::401–406.
[Google الباحث العلمي]
Duthie DJR. Remifentanil and tramadol. British Journal of Anesthesia. 1998; 81::51–57.
[Google الباحث العلمي]
Gibson TP. Pharmacokinetic, efficacy, and safety of analgesia with a focus on Tramadol HCI. An J Med. 1996 Jul 31; 101:1A:47s–53s.
[Google الباحث العلمي]
Dayer P, Collart L, Desmeules J. The pharmacology of tramadol. Drugs. 1994; 47:Suppl:37.
[Google الباحث العلمي]
Muijsers RB, Wagstaff AJ. Transdermal fentanyl: An update review of its pharmacological proporties and therapeutic efficacy in chronic cancer pain control. Drugs. 2001; 61:15:2289:307.
[Google الباحث العلمي]
Jeal W, Benfield P. Transdermal fentanyl: A review of its pharmacological proporties and therapeutic efficacy in pain control. Drugs. 1997; Jan; 53:1:109:38.
[Google الباحث العلمي]
Kornick CA, Santiago-Palma J. Benefit-risk assessment of transdermal fentanyl for the treatment of chronic pain. Drug Saf. 2003; 26:13:951:73.
[Google الباحث العلمي]
Egan TD, Lemmens JH, Fiset P, et al., The pharmacokinetics of the new short-acting opioid remifentanil (GI87084B) in healthy adult male volunteers. Anesthesiology. 1993; 79::881–892.
[Google الباحث العلمي]
Kapila A, Glass PS, Jabobs JR. Measured context-sensitive half-times of remifentanil and alfentanil. Anesthesiology. 1995; 83::968–975.
[Google الباحث العلمي]
Thompson JP, Rowbotham DJ. Remifentanil: An opioid for the 21st century. BrJAnaesth. 1996; 76::341–343.
[Google الباحث العلمي]
Carlsson AM. Assessment of chronic pain. Aspects of the reliability and validity of the visual analogue scale Pain. 1983 May; 16:1:87–101.
[Google الباحث العلمي]
Ohnhaus EE, Adler R. Methodological problems in the measurement of pain: A comparison between the verbal rating scale and the visual analogue scale. Pain. 1975 Dec; 1:4:379–384.
[Google الباحث العلمي]
Chernik DA, Gillings D, Laine H. Validity and readability of the observer's assessment alertness/sedation scale: Study with intravenous midazolam. J Clin Psychopharmacol. 1990; 10::244–251.
[Google الباحث العلمي]
Jean-Francois P, Chanques G. Current practice in sedation and analgesia for mechanically ventilated critically ill patients. Anesthesiology. 2007; 106::678–695.
[Google الباحث العلمي]
Fiastro JF, Habib MP, Shon BY, Campbell S. Comparison of standard weaning parameters and the mechanical work of breathing in mechanically ventilated patients. Chest. August 1988; 94:2:232–238.
[Google الباحث العلمي]
Hoo S, Park L. Variations in the Measurement of Weaning Parameters: A Survey of Respiratory Therapists. Chest. June 1,2002; 121::1947–1955.
[Google الباحث العلمي]
Grond S, Hall J, Spacek A, Hoppenbrouwers M, Richarz U, Bonnet F. lontophoretic Transdermal system using fentanyl compared with patient- controlled intravenous analgesia using morphine for postoperative pain management. British Journal of Anaesthesia. 2007; 98:6:806–815.
[Google الباحث العلمي]
Viscusi ER, Reynolds L, Chung F, Atkinson LES. Patient-Controlled Transdermal Fentanyl Hydrochloride vs Intravenous Morphine Pump for Postoperative Pain. JAMA. 2004; 291::1333–1341.
[Google الباحث العلمي]

/content/journals/10.5339/qmj.2010.2.18

الموضوعات الرئيسية , Analgesia, Opioids and Traumatic Chest Injury

الأكثر اقتباسًا لهذا الشهر Most Cited RSS feed

- Association of erythrocytes antioxidant enzymes and their cofactors with markers of oxidative stress in patients with sickle cell anemia
  
  المؤلفون: Lamia M. Al-Naama, Mea'ad K. Hassan and Jawad K. Mehdi
- Prevalence of Multi-Antibiotic Resistant Escherichia coli and Klebsiella species obtained from a Tertiary Medical Institution in Oyo State, Nigeria
  
  المؤلفون: AA Ayandele, EK Oladipo, O Oyebisi and MO Kaka
- A review of drug-induced acute angle closure glaucoma for non-ophthalmologists
  
  المؤلفون: Elliott Yann Ah-kee, Eric Egong, Ahad Shafi, Lik Thai Lim and James Li Yim
- Multiple organ dysfunction syndrome: Contemporary insights on the clinicopathological spectrum
  
  المؤلفون: Mohammad Asim, Farhana Amin and Ayman El-Menyar
- Concise review of recent studies in vitiligo
  
  المؤلفون: Mohamed Allam and Hassan Riad
- Analysis of use of a single best answer format in an undergraduate medical examination
  
  المؤلفون: Fahmi Ishaq El-Uri and Naser Malas
- Malignant transformation of uterine leiomyoma
  
  المؤلفون: Afaf A. Al Ansari, Fatima A. Al Hail and Emad Abboud
- The prevalence of psychological impact on caregivers of hospitalized patients: The forgotten part of the equation
  
  المؤلفون: Rahma Al-Zahrani, Rahaf Bashihab, Anwar E. Ahmed, Reem Alkhodair and Sultan Al-Khateeb
- Public awareness of colon cancer screening among the general population: A study from the Western Region of Saudi Arabia
  
  المؤلفون: Yasir Mohammed Khayyat and Ezzeldin Mostafa Ibrahim
- Bed crisis and elective surgery late cancellations: An approach using the theory of constraints
  
  المؤلفون: Abderrazak Sahraoui and Mohamed Elarref
مزيد أقل

oa Fentanyl Transdermal Therapy System (TTS-Patch) for Post-Traumatic Blunt Chest Injury

ملخص

Most Read This Month

الأكثر اقتباسًا لهذا الشهر Most Cited RSS feed