Deep sedation during pneumatic reduction of intussusception

Background Pneumatic reduction of intussusception under fluoroscopic guidance is a routine procedure. The unsedated child may resist the procedure, which may lengthen its duration and increase the radiation dose. We use deep sedation during the procedure to overcome these difficulties. Objective The...

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Bibliographic Details
Published in:Pediatric radiology 2012-05, Vol.42 (5), p.562-565
Main Authors: Ilivitzki, Anat, Shtark, Luda Glozman, Arish, Karin, Engel, Ahuva
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Deep Sedation - methods
Enema - methods
Female
Fluoroscopy
Humans
Hypnotics and Sedatives - administration & dosage
Imaging
Infant
Insufflation - methods
Intussusception - diagnostic imaging
Intussusception - therapy
Male
Medicine
Medicine & Public Health
Neuroradiology
Nuclear Medicine
Oncology
Original Article
Pediatrics
Propofol - administration & dosage
Radiography, Interventional
Radiology
Retrospective Studies
Treatment Outcome
Ultrasound
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Summary:Background Pneumatic reduction of intussusception under fluoroscopic guidance is a routine procedure. The unsedated child may resist the procedure, which may lengthen its duration and increase the radiation dose. We use deep sedation during the procedure to overcome these difficulties. Objective The purpose of this study was to summarize our experience with deep sedation during fluoroscopic reduction of intussusception and assess the added value and complication rate of deep sedation. Materials and methods All children with intussusception who underwent pneumatic reduction in our hospital between January 2004 and June 2011 were included in this retrospective study. Anesthetists sedated the children using propofol. The fluoroscopic studies, ultrasound (US) studies and the childrens' charts were reviewed. Results One hundred thirty-one attempted reductions were performed in 119 children, of which 121 (92%) were successful and 10 (8%) failed. Two perforations (1.5%) occurred during attempted reduction. Average fluoroscopic time was 1.5 minutes. No complication to sedation was recorded. Conclusions Deep sedation with propofol did not add any complication to the pneumatic reduction. The fluoroscopic time was short. The success rate of reduction was high, raising the possibility that sedation is beneficial, possibly by smooth muscle relaxation.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-011-2311-0