A Comparison of Oral Transmucosal Fentanyl Citrate and Oral Oxycodone for Pediatric Outpatient Wound Care
| Autor: | F O'Donnell, Monica S. Vavilala, Lorri A. Lee, Gretchen J. Carrougher, S. R. Sharar, K. Selzer |
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| Rok vydání: | 2002 |
| Předmět: |
Male
Adolescent Movement Sedation Analgesic Conscious Sedation Vital signs Administration Oral Pain Fentanyl Wound care Patient satisfaction Double-Blind Method Outpatients medicine Humans Outpatient clinic Oximetry Prospective Studies Child General Nursing Pain Measurement Dose-Response Relationship Drug business.industry Respiration Rehabilitation Mouth Mucosa Analgesics Opioid Treatment Outcome Child Preschool Anesthesia General Health Professions Emergency Medicine Female Surgery medicine.symptom Burns business Oxycodone medicine.drug |
| Zdroj: | The Journal of Burn Care & Rehabilitation. 23:27-31 |
| ISSN: | 1534-5939 0273-8481 |
| DOI: | 10.1097/00004630-200201000-00006 |
| Popis: | Analgesia for pediatric burn wound care in the outpatient clinic is constrained by time, personnel, and/or monitoring capabilities, yet may improve patient satisfaction and comfort, clinic efficiency, and patient throughput. The ideal analgesic in this increasingly common setting should be palatable, provide potent, rapid, and brief analgesia, and require minimal appropriate monitoring. Using a placebo-controlled, double-blind design we compared oral transmucosal fentanyl citrate (OTFC, ≈10 μg/kg) and oral oxycodone (0.2 mg/kg) in 22 pediatric outpatient wound care procedures (ages 5–14 years). Pulse oximetry, vital signs, side effects, patient pain scores, and observer scores for cooperation, anxiety, and sedation were recorded. OTFC and oral oxycodone resulted in similar outcome measures and vital signs, and no significant side effects. The taste of OTFC was preferred. We conclude that OTFC and oral oxycodone are safe and effective analgesics in the setting of monitored outpatient wound care in children, and that OTFC offers the advantage of improved palatability. |
| Databáze: | OpenAIRE |
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