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Dergiler / Medical Records / 2026 / Cilt: 7 Sayı: 2

Efficacy Comparison of Transdermal Fentanyl and IV Morphine PCA in Post-orthopedic Surgery Pain: A Randomized Clinical Trial

Seher İlhan(PAMUKKALE ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-4857-8501
Habib Atalay(PAMUKKALE ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-5888-349X
Sayfa
441–449
Yayın Tarihi
2025-05-09
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

These findings suggest the need for careful consideration when selecting postoperative pain management strategies.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Aim: Effective postoperative pain management is crucial for early mobilization and recovery in orthopedic surgery patients.
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Temel Bulgular & Veri:Material and Method: This prospective, randomized, controlled, comparative study included 40 patients aged 20-65 years undergoing orthopedic surgery under general anesthesia between July-December 2010.
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Sonuç & Katkı:These findings suggest the need for careful consideration when selecting postoperative pain management strategies.
🔬Tür:Klinik Araştırma
📍Kapsam:2010 Verileri
⚙️Değişkenler:Pain · postoperative · patient-controlled analgesia

Abstract

Aim: Effective postoperative pain management is crucial for early mobilization and recovery in orthopedic surgery patients. While intravenous patient-controlled analgesia (IV-PCA) with morphine is widely used, it has limitations including IV access dependency and mobility restrictions. Transdermal fentanyl (TDF) patches have emerged as an alternative due to their long-lasting analgesic effects. This study compares their efficacies in managing postoperative pain following orthopedic surgeries and evaluates patient satisfaction levels. Material and Method: This prospective, randomized, controlled, comparative study included 40 patients aged 20-65 years undergoing orthopedic surgery under general anesthesia between July-December 2010. Patients were randomized into Group TDF (n=20) and Group IV-PCA (n=20). Postoperative pain intensity quantification was performed utilizing standardized VAS methodology, while concurrent sedation depth monitoring employed RSS parameters throughout the initial 24-hour postoperative period. Additionally, hemodynamic parameters, rescue analgesia requirements, side effects, and satisfaction levels were monitored. Results: Post-surgical nociceptive metrics demonstrated significant temporal reduction across both cohorts (p .05). Patient-reported satisfaction metrics indicated significant preference for automated morphine administration protocols (p<.001). Conclusion: Despite providing adequate initial pain relief, TDF patches demonstrated lower efficacy compared to IV-PCA with morphine in managing postoperative pain and achieving patient satisfaction following orthopedic surgery. These findings suggest the need for careful consideration when selecting postoperative pain management strategies.

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Bu Makaleye Atıf Yap

İlhan, S., Atalay, H. (2025). Efficacy Comparison of Transdermal Fentanyl and IV Morphine PCA in Post-orthopedic Surgery Pain: A Randomized Clinical Trial. Medical Records, Cilt: 7 Sayı: 2, 441–449. https://doi.org/10.37990/medr.1634371

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Kaynakça (19)

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