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Pediatric Radiology
Published in: Pediatric Radiology 7/2010

01-07-2010 | Original Article

Intranasal fentanyl versus placebo for pain in children during catheterization for voiding cystourethrography

Authors: Seen Chung, Ruth Lim, Ran D. Goldman

Published in: Pediatric Radiology | Issue 7/2010

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Abstract

Background

Voiding cystourethrogram (VCUG) is a common procedure at pediatric tertiary care centres that can be painful as it involves a urinary catheter. Currently there are no widely utilized protocols for non-topical medications to decrease pain that children feel during catheterization.

Objective

To determine if intranasal (IN) fentanyl is effective at decreasing pain that children feel during catheterization of VCUG when compared with sterile water.

Materials and methods

We performed a double-blind randomized controlled trial, using IN fentanyl (2 μg/kg) compared to placebo (sterile water,) in children 4–8 years of age scheduled for elective VCUG in one urban pediatric tertiary center.

Results

Using the Face Pain Score-Revised, children receiving IN fentanyl scored 2.58 (1.93–3.25 95% CI) while those receiving sterile water scored 2.86 (2.20–3.51 95% CI) showing no statistically significant difference. There were no adverse events.

Conclusions

Although we were unable to show a statistically significant difference between our study and control groups, we believe that this may be due to technique (positioning, delivery device) and timing of administration of IN fentanyl as well as multi-factorial causes of distress during VCUG. Future studies investigating alternative delivery techniques of IN fentanyl for analgesia during VCUG may yield more promising results.
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Metadata
Title
Intranasal fentanyl versus placebo for pain in children during catheterization for voiding cystourethrography
Authors
Seen Chung
Ruth Lim
Ran D. Goldman
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 7/2010
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-009-1521-1

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