Haydarpasa Numune Med J. 2021; 61(4): 466-468 | DOI: 10.14744/hnhj.2019.75437

The Treatment of Neonatal Abstinence Syndrome with Fentanyl in a Premature Infant

Serkan Kýrýk¹, Sadýk Yurttutan², Aydýn Bozkaya³, Büþra Seðmen^3
1Department of Pediatrics, Division of Pediatricneurology, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
²Department of Pediatrics, Division of Neonatology, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey Sutcu Imam University, Department Of Pediatrics, Division Of Neonatology
³Department of Pediatrics, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey

Neonatal abstinence syndrome (NAS) is a clinical condition in which infants born to mothers with substance addictions (heroin, cannabis, opiates, etc.) exhibit withdrawal symptoms and physical addiction as they have been exposed to the substances prenatally and are lacking the substance postnatally. Most often emerges with the central nervous system and autonomous nervous system findings in NAS. Seizures have been reported rarely and require emergency treatment. We report the patient who born to a mother addicted to heroin who suffered NAS and was successfully treated with fentanyl infusion as far as we know, is the first in the literature.

Keywords: Addiction, fentanyl; neonatal abstinence syndrome.

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Yenidoðan Yoksunluk Sendromunun Prematüre Bebekte Fentanil ile Tedavisi

Serkan Kýrýk¹, Sadýk Yurttutan², Aydýn Bozkaya³, Büþra Seðmen^3
1Kahramanmaras Sütçü Ýmam Üniversitesi, Pediatri Anabilim Dalý, Çocuk Nöroloji Bilim Dalý
²Kahramanmaras Sütçü Ýmam Üniversitesi, Pediatri Anabilim Dalý, Neonatoloji Bilim Dalý
³Kahramanmaras Sütçü Ýmam Üniversitesi, Pediatri Anabilim Dalý

Yenidoðan yoksunluk sendromu (YYS), madde baðýmlýlýðý olan annelerden (eroin, esrar, afyon, vb.)gebelikteki maruziyet sonrasý doðmuþ bebeklerin, madde eksikliðine ikincil olarak yoksunluk belirtileri gösterdikleri klinik bir durumdur. YYS' da merkezi sinir sistemi ve otonom sinir sistemi bulgularý ile ortaya çýkar. Nöbetler nadir olarak bildirilmiþtir ve acil tedavi gerektirir.
YYS tanýlý eroin baðýmlý anneden doðan hastada literatürde daha önce karþýlaþmadýðýmýz, fentanil infüzyonu ile baþarýlý bir þekilde tedavi edilmesini literatüre katký amaçlý olarak sunuyoruz.

Anahtar Kelimeler: baðýmlýlýk, yenidoðan yoksunluk sendromu, fentanil

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