Evaluation of Pain after Laminectomy Fusion with Fentanyl Transdermal Patch and Paracetamol Infusion: Case Report

Abstract

Pain can occur due to many things, one of which is trauma and surgical procedures. Fentanyl transdermal patch and paracetamol are analgesics that can be used as alternatives to control the pain. The use of the fentanyl transdermal  patch is easy to use because it is needle free, the duration of use can be up to 72 hours, and it is used for chronic with moderate to severe intensity. Paracetamol is also an NSAID that is easy to find and often used. The following is a case series regarding three patients with a diagnosis of Lumbar Tumor at L4-L5 vertebrae, Spinal Cord Injury at C6-C7 vertebrae, Canal Stenosis at L4-S1 vertebrae who received a laminectomy fusion procedure. The three patients received fentanyl transdermal  patch and paracetamol therapy as postoperative management. Almost all patients reported a decrease in pain scale after using fentanyl transdermal  patch and paracetamol, monitoring pain using the Number Pain Rating Scale (NPRS) and Behavioral Pain Rating Scale (BPS) at the 6^th, 12^th, 24^th and 48^th  hours postoperatively. Differences can occur due to internal and external factors. In this case, most patients felt a decrease in pain scale at 12 and 24 hours after receiving fentanyl transdermal  patch and paracetamol therapy, so that it can be used as an option for postoperative pain management.