Comparing the administration of fentanyl 1 µg kg⁻¹ and fentanyl 0.5 µg kg⁻¹ in dilation and curettage procedures.
OBJECTIVE
This study was carried out to compare fentanyl 0.5 µg kg⁻¹ -propofol as opposed to fentanyl 1 µg kg⁻¹ -propofol in terms of providing adequate analgesia, and a comparable recovery profile in dilation and curettage (D&C) procedures.


METHODS
Verbal Pain Scale (VPS) scores, modified Aldrete scores, and hemodynamic parameters were recorded during and after the surgical procedure. In addition, a record was also kept of adverse events, and patients and surgeons were questioned about their satisfaction with the anesthesia.


RESULTS
No difference was found between the two groups in terms of hemodynamic parameters, the VPS scores, or patient and surgeon satisfaction. The fentanyl 0.5 µg group displayed significantly higher modified Aldrete scores at both 5- and 10-min postoperative. Adverse events in both groups were considerably few. The incidence of postoperative nausea and vomiting (PONV) in the fentanyl 0.5 µg group was lower eventhough it did not reach the statistically significance level. In addition, faster recovery times were recorded with the administration of fentanyl 0.5 µg kg⁻¹ .


CONCLUSIONS
Fentanyl 0.5 µg kg⁻¹ appears to be as reliable as that of fentanyl 1 µg kg⁻¹ with faster recovery times when used in D&C procedures.
Department of Obstetrics and Gynecology, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey.
Mert
M
Küçük
Bakiye
B
Uğur
Mustafa
M
Oğurlu
D000293:Adolescent; D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000627:therapeutic use; D018686:Anesthetics, Intravenous / Q000008:administration & dosage* / Q000627:therapeutic use; D004107:Dilatation and Curettage / Q000379:methods*; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D020250:Postoperative Nausea and Vomiting / Q000139:chemically induced
D000701:Analgesics, Opioid; D018686:Anesthetics, Intravenous; D005283:Fentanyl