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British Journal of Anaesthesia, 1988, Vol. 60, No. 6 614-618
© 1988 The Board of Management and Trustees of the British Journal of Anaesthesia


research-article

PLASMA FENTANYL CONCENTRATIONS DURING TRANSDERMAL DELIVERY OF FENTANYL TO SURGICAL PATIENTS

D. J. R. DUTHIE, D. J. ROWBOTHAM, R. WYLD, P. D. HENDERSON and W. S. NIMMO

DAVID J. R. DUTHIE, M.B., CH.B., F.F.A.R.C.S.; DAVID J. ROWBOTHAM, M.B., CH.B., M.R.C.P., F.F.A.R.C.S., F.F.A.R.C.S.I.; RONA WYLD, S.R.N.; PETER D.HENDERSON; WALTER S. NIMMO, B.SC., M.D., F.R.C.P., F.F.A.R.C.S.; Department of Anaesthesia, Sheffield University Medical School, Beech Hill Road, Sheffield S10 2RX.

Plasma fentanyl concentrations were measured during and after transdermal fentanyl delivery in groups of patients undergoing general surgery. At 8 and 12 h, concentrations did not differ from those observed in a matched group of patients receiving fentanyl by i.v. infusion. At 24 h, concentrations were significantly lower in one of the transdermal groups. Plasma fentanyl clearance did not differ significantly between the groups. Plasma fentanyl concentrations decreased slowly after removal of the transdermal system.


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