Consensus Perioperative Management Best Practices for Patients on Transdermal Fentanyl Patches Undergoing Surgery.
Curr Pain Headache Rep
; 23(7): 50, 2019 Jun 21.
Article
in En
| MEDLINE
| ID: mdl-31227918
ABSTRACT
PURPOSE OF REVIEW The administration of a transdermal fentanyl patch can be complicated with different pharmacokinetics than other fentanyl preparations. RECENT FINDINGS:
The medical condition and baseline opioid requirements must all be carefully considered when dosing a fentanyl patch. An advantage of the fentanyl patch is its ability to bypass the gastrointestinal tract and in many patients, provide effective analgesia with minimal side effects. Fentanyl patches must be carefully administered since morbidity and/or mortality can result from the following Giving higher doses than a patient needs, combining the medication with potent sedatives, or heating a fentanyl patch. The use of a transdermal fentanyl patch for the treatment of acute postoperative pain is not recommended and any patient undergoing a surgical procedure should have the fentanyl patch removed preoperatively. The current manuscript discusses the history of fentanyl and the fentanyl patch, as well as perioperative considerations, contraindications, current clinical efficacy, and clinical adversities related to the transdermal fentanyl patch. Regarding the heating of a transdermal fentanyl patch, which significantly increases blood levels of fentanyl, it is of the utmost importance that the patch be removed prior to surgery.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain, Postoperative
/
Fentanyl
/
Consensus
/
Transdermal Patch
/
Analgesics, Opioid
Type of study:
Guideline
Limits:
Humans
Language:
En
Journal:
Curr Pain Headache Rep
Journal subject:
FISIOLOGIA
/
NEUROLOGIA
/
PSICOFISIOLOGIA
Year:
2019
Type:
Article
Affiliation country:
United States