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Table 2 Regimens of fentanyl used in included records by route of administration

From: Fentanyl for labour pain management: a scoping review

Route of Fentanyl

Number of records

Loading Dose (range)

Maintenance Dose

Intranasal Fentanyl

6

54–250 µg

The maximum hourly dose was 600 µg, with a maximum total dose of 1200 µg

Subcutaneous Fentanyl

5

200 µg

After 1 h, additional 50 µg doses could be administered every 15 min, as requested, up to a maximum of 650 µg

Intravenous Fentanyl

18

25–100 μg

- Same dose every 1–2 h

- IV-PCA pump 20 μg, lockout interval 3–6 min. The maximum dose of 240 μg per hour, or four-hour limit of 1000–1500 μg in total

- Additional 50 μg was given and repeated every 5–10 min until the patient reported adequate pain relief

Intrathecal Fentanyl

21

5–75 μg

- If analgesia is inadequate after 15 min, a second dose of same study solution was injected

- Other drugs

Epidural Fentanyl

9

20–125 μg

Other drugs