J Korean Pain Soc.  1999 Nov;12(2):211-216.

Postoperative Pain Control after Cesarean Section with Transdermal Fentanyl Patch

• Lee JC
• Kim TJ
• Han JO
• Lim HK
• Song JH
• Lee HS
• Cha YD
• Park DH
• Lee SK

Abstract

BACKGROUND: Transdermal fentanyl patch (TDFP) is a simple, noninvasive analgesic with continuous effect. The aim of this study was to evaluate the postoperative analgesic effect of TDFP. ETHODS: Sixty healthy patients undergoing cesarean section were divided into 3 groups. Postoperative pain was controlled with different methods; Group I: application of TDFP-25 microgram/hr, Group II: intra- muscular injection of ketoprofen; Group III: continuous epidural block. Pain scores (numerical rating scale, NRS), number of patients who needed additive ketoprofen injections and side effects were recorded at 8, 20, 32, 44 hours postoperatively.
RESULTS
There was no significanant difference in pain score between Group I and Group II. The numbers of patients who need additive ketoprofen injections were lower in group I than group II. Pruritis (25%), nausea/vomiting (10%), leg numbness (40%) was experienced in group III, but not in Group I &II.
CONCLUSIONS
TDFP-25 microgram/hr for postoperative pain control is simpler and more convinient than intramuscular injection of analgesics.

Keyword

Analgesia, intramuscular, transdermal delivery; Analgesics, fentanyl, ketoprofen, morphine; Pain, postoverative

MeSH Terms

Analgesics
Cesarean Section*
Female
Fentanyl*
Humans
Hypesthesia
Injections, Intramuscular
Ketoprofen
Leg
Pain, Postoperative*
Pregnancy
Pruritus
Analgesics
Fentanyl
Ketoprofen