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PEDIATRICS Vol. 108 No. 4 October 2001, pp. 1012-1015

EXPERIENCE AND REASON:
Bladder Retention of Urine as a Result of Continuous Intravenous Infusion of Fentanyl: 2 Case Reports

Received Oct 12, 2000; accepted Jan 29, 2001.

Utpala G. Das

P. Sasidharan

Department of Pediatrics Division of Neonatology Children's Hospital of Wisconsin Medical College of Wisconsin Milwaukee, WI 53226

Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.

 Key words:  fentanyl, preterm infant, side effects.


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