February 2007, Volume 37 Number 2 , p 26 - 27
D'ARCY, YVONNE CRNP, CNS, MS
Yvonne D'Arcy is a nurse practitioner in pain management and the pain and palliative care outcomes manager at Suburban Hospital in Bethesda, Md. Figure. The On-Q C-bloc system delivers local anesthetic to a nerve, such as the brachial plexus shown here.
IN A PREVIOUS ARTICLE, I described new drug options for pain control. Now let's look at some new analgesic delivery systems and pain management techniques.
Opioids such as fentanyl, alfentanil, sufentanil, oxycodone, and buprenorphine are being developed for delivery as nasal sprays. (Stadol, a mixed agonist-antagonist available as a nasal spray, has been used for years for minor surgical procedures, such as dental procedures.) The benefits of this delivery method include a quick onset of action. Limitations include the design of the nasal administration device, and the physiology of the nasal mucosa, which might affect consistent absorption ...