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Intrathecal Fentanyl Reduces Postoperative Opioid Use After Lower-Extremity Orthopedic Surgery

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Ace Report Cover
October 2025

Intrathecal Fentanyl Reduces Postoperative Opioid Use After Lower-Extremity Orthopedic Surgery

Vol: 307| Issue: 10| Number:98| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

The effects of intrathecal fentanyl on postoperative opioid utilization rates in elderly patients undergoing lower extremity orthopedic surgery: a randomized controlled trial.

Perioper Med (Lond) . 2025 May 19;14(1):58.

Contributing Authors:
Y Gu Y Li W Liu X Liu Q Ye

Synopsis

One hundred eighty elderly patients scheduled for lower-extremity orthopedic procedures were randomized to bupivacaine + fentanyl 25 µg (BF1, n=77), bupivacaine + fentanyl 50 µg (BF2, n=77), or bupivacaine alone (B, n=37). The primary outcome was opioid use rate; secondary outcomes included NRS pain (≥4) and overall analgesic use on POD1–3. Outcomes were assessed daily to POD3. Overall, the result...

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