Penington, P., Caminniti, S., Schein, J.R., Hewitt, Essay

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Penington, P., Caminniti, S., Schein, J.R., Hewitt, D.J., & Nelson, W.W. (2009). Patients' Assessment of the Convenience of Fentanyl HCl Iontophoretic Transdermal System (ITS) Versus Morphine Intravenous Patient- Controlled Analgesia (IV PCA) in the Management of Postoperative Pain After Major Surgery, Pain Management Nursing, 10, 124-133

to evaluate patients' assessment of fentanyl ITS and morphine intravenous patient-controlled analgesia (IV PCA)

Research question/objective/hypothesis

Two previous studies used Ease of Care questionnaire in order to assess the superiority of ITS over morphine intravenous patient-controlled analgesia. However extensive analysis of the EOC data was not collected. This study intends to do just that, assessing the convenience of each patient modality using the EOC questionnaire form both previous studies.

Review of the literature

There is inadequate management of postoperative pain, which can impact a host of conditions including chronic pain. Patient controlled anesthesia is preferred to clinician-controlled anesthesia.

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The common analgesic used until now is PCA morphine, but this has its limitation. A recent PCA that has just been approved for acute post operative pain management is patient-controlled fentanyl HCl iontophoretic transdermal system ITS) (fentanyl ITS; IONSYS™; Ortho-McNeil, Raritan, NJ). Two studies (one on patients with total hip replacement surgery (THR); and the other conducted on patients undergoing abdominal or pelvic surgery (APS)), using Ease of care questionnaire have been conducted on comparison of the modalities and results have seemed to indicate superior EOC for ITS.

5. Conceptual/theoretical framework

Two studies (one on each patient group) that were studies were open-label,

randomized, multicenter, active-controlled phase using questionnaires (Likert scale) that were statistically analyzed.

6 Variables or key concepts studied

Variables of Ease of care of ITS as compared….....

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