Table 1.
Case details
| Case #1 | Case #2 | Case #3 | Case #4 | Case #5 | Case #6 | Case #7 | |
|---|---|---|---|---|---|---|---|
| Age (years) | 64 | 45 | 42 | 71 | 63 | 61 | 67 |
| Sex | Female | Female | Female | Female | Male | Male | Male |
| BMI (kg/m2) | 37 | 58 | 45 | 30 | 28 | 28 | 25 |
| Surgery type | Laparoscopic sleeve gastrectomy, removal of gastric band, and paraesophageal hernia repair | Laparoscopic sleeve gastrectomy | Laparoscopic sleeve gastrectomy | Laparoscopic low anterior resection (partial colon resection) | Perirectal abscess incision and drainage (posterolateral, multiloculated) | Prostato-vesiculectomy | Suprapubic resection of the prostate gland |
| Fentanyl ITS use |
One fentanyl ITS over 24 h 34 doses |
One fentanyl ITS over 20 h 12 doses |
One fentanyl ITS over 20 h 67 doses |
Three fentanyl ITS over 72 h |
Two fentanyl ITS over 28 h 19 doses on Day 1 |
One fentanyl ITS over 24 h 41 doses |
One fentanyl ITS over 24 h 47 doses |
| Multimodal use | None | None | None | None | None |
Metamizole (non-opioid analgesic) Piritramide (opioid) |
Metamizole (non-opioid analgesic) |
| Patient satisfaction |
Very satisfied Preferred fentanyl ITS over previous experience with IV PCA |
Very satisfied | Very satisfied | Very satisfied | Very satisfied |
Very satisfied Indicated that he would prefer fentanyl ITS for any future surgeries |
Very satisfied |
| Safety | No safety issues |
Late-onset nausea Administered one dose of ondansetron 4 mg IV |
No safety issues | Slight skin redness at application site; resolved without intervention | Slight skin redness at application site; resolved without intervention |
Short-lasting nausea and vomiting; associated with IV administration of piritramide Treated with metoclopramide and granisetron |
No safety issues |
| Ease of use | Very easy to use | Very easy to use once trained | Very easy to use | Not reported | Not reported | Very easy to use | Very easy to use |
| Pain management after fentanyl ITS |
Transitioned to PO hydrocodone/ acetaminophen |
Transitioned to PO hydrocodone/ acetaminophen |
Transitioned to PO hydrocodone/ acetaminophen |
Transitioned to PO hydrocodone/ acetaminophen |
Transitioned to PO hydrocodone/ acetaminophen |
Transitioned to PO morphine | Transitioned to PO oxycodone and metamizole |